AMANDA ROSE PORTER


Address: 216 Sara Beth Dr, Brooklet, GA 30415-8212
Phone: 9126903144

AMANDA ROSE PORTER (NPI# 1548773146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548773146
Entity Type Individual
Full Name AMANDA ROSE PORTER
Credential CLC
Practice Address 216 Sara Beth Dr
Brooklet
GA 30415-8212
Practice Telephone 9126903144
Mailing Telephone 9126903144
Enumeration Date 2017-11-06
Last Update Date 2017-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN ALPP207699 Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
ACADEMY OF LACTATION ALPP207699 01

Other Providers AMANDA PORTER

NPI Name Taxonomy Address Enumeration
1750561924 Amanda Logan Porter Physician Assistant 726 Yorklyn Road, Suite 100, Hockessin, DE 19707-0000 2007-11-05
1104853704 Amanda Renea Porter Physician Assistant 560 S Lakewood Dr Ste 101, Brandon, FL 33511-5016 2006-06-27
1528693025 Amanda Ellen Porter Behavior Technician 152 Sylvan St, Danvers, MA 01923-3558 2020-03-05
1639638729 Amanda Lynn Porter Internal Medicine 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 2019-03-18
1639687395 Amanda Jo Porter Occupational Therapist 5 Doctors Park Rd, Mount Vernon, IL 62864-6224 2018-01-16
1346790029 Amanda Lynn Porter Physician Assistant 301 Hospital Dr, Glen Burnie, MD 21061-5803 2016-10-06
1689127839 Amanda Lynn Porter Pharmacist 3000 Arlington Ave, Ms 1131, Toledo, OH 43614-2595 2016-07-24
1831574110 Amanda Lee Porter Chiropractor 2160 Dunn Ave, Jacksonville, FL 32218-4718 2015-07-28
1720426356 Amanda Vaughan Porter Nurse Practitioner 4075 Old Western Row Rd, Mason, OH 45040-3104 2013-06-05
1710233838 Amanda Kathleen Porter Nurse Practitioner 975 E 3rd St # 376, Chattanooga, TN 37403-2147 2012-07-26

Office Location

Street Address 216 SARA BETH DR
City BROOKLET
State GA
Zip Code 30415-8212

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659422145 Home Health Equipment, Inc. Durable Medical Equipment & Medical Supplies 121 Parker Ave., Brooklet, GA 30415 2007-01-13
1750319463 Rene B Childree Family Medicine 128 North Parker Ave, Brooklet, GA 30415 2006-06-29
1447707088 Kaitlin Brannen Pharmacist 114 B Parker Ave, Brooklet, GA 30415 2016-09-01
1811049679 Bohler Family Practice PC Clinic/Center 128 North Parker Ave, Brooklet, GA 30415 2007-01-18
1609819804 Walker Pharmacy and Gifts, Inc. Pharmacy 114 B Parker Ave, Brooklet, GA 30415-0215 2006-06-14
1912451246 Victor Ray Voiselle Pharmacist 114 B Parker Ave, Brooklet, GA 30415-0215 2016-08-03
1225141997 William Scott Bohlke Family Medicine 128 North Parker Avenue, Brooklet, GA 30415-0487 2006-08-16
1003800947 Caroline U Bowman Speech-Language Pathologist 3300 Lang Ln, Brooklet, GA 30415-5775 2005-09-07
1225580806 Marla Jean Riley Nurse Practitioner 118 Tall Timbers Ln, Brooklet, GA 30415-5985 2016-10-28
1982141834 Janet Kathleen Scott Counselor 114 Summer Wind Pl, Brooklet, GA 30415-6090 2017-01-30
Find all providers in zip 30415

Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871109140 Darnaisha Campbell Lactation Consultant, Non-RN 206 Chatham St Apt B, Lagrange, GA 30240-5387 2020-09-21
1770193310 Nicole Schwartz Lactation Consultant, Non-RN 431 Westside Dr, Roswell, GA 30075-4835 2020-08-07
1639799372 Jean G Howington Lactation Consultant, Non-RN 4520 Bartow Carver Rd Se Apt 3, Acworth, GA 30102-2669 2020-04-22
1417590795 Jennifer Marie Letzer Lactation Consultant, Non-RN 2202 The Vly, Sandy Springs, GA 30328-5413 2019-10-19
1831740026 Napiera Loveless Lactation Consultant, Non-RN 4258 Duncan Ives Dr, Buford, GA 30519-7556 2019-09-27
1134773880 Heather Michelle Goodbread Lactation Consultant, Non-RN 408 S Atlanta St Ste 155, Roswell, GA 30075-4976 2019-07-31
1194386201 Pamela Juliet Campbell Lactation Consultant, Non-RN 403 Robinson Rd, Peachtree City, GA 30269-1861 2019-06-28
1952961351 Nichole Lynn Cutrone Lactation Consultant, Non-RN 3635 Azurite St, Cumming, GA 30040-6096 2019-06-18
1194385054 Laura Crockett Lactation Consultant, Non-RN 754 Virginia Cir Ne, Atlanta, GA 30306-3712 2019-06-13
1518432947 Heather Hardy Lactation Consultant, Non-RN 109 Heritage Oaks Dr, Ball Ground, GA 30107-6307 2018-10-12
Find all providers with the same taxonomy

Competitor

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City BROOKLET
Zip Code 30415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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