AMANDA LAUREN FARRELL (NPI# 1588199657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588199657 |
| Entity Type | Individual |
| Full Name | AMANDA LAUREN FARRELL |
| Credential | NP-C |
| Practice Address |
350 Country Club Dr Stockbridge GA 30281-9084 |
| Mailing Address |
143 Kennedy Blvd Jackson GA 30233-6152 |
| Practice Telephone | 7706924000 |
| Mailing Telephone | 4049759416 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F04170361 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509668 | Amanda Lynn Farrell | Pharmacy Technician | 6510 Cedar Lake Rd S, St Louis Park, MN 55426-2811 | 2017-03-08 |
| 1457743890 | Amanda Marie Farrell | Massage Therapist | 1400 W 122nd Ave, Suite 107, Westminster, CO 80234-3495 | 2015-02-23 |
| 1790233641 | Amanda Farrell | Nurse Practitioner | 155 S Madison St, #328, Denver, CO 80209-3011 | 2016-09-20 |
| 1205384369 | Amanda Farrell | Specialist | 44 Portwest Ct, Saint Charles, MO 63303-5985 | 2016-09-19 |
| 1134525603 | Amanda Farrell | Occupational Therapy Assistant | 1400 Division St, Oregon City, OR 97045-1525 | 2014-11-11 |
| 1053713990 | Amanda Farrell | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2014-09-23 |
| 1023433877 | Amanda M Farrell | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2014-03-03 |
| 1124451414 | Amanda Ann Farrell | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2013-08-09 |
| 1871809517 | Amanda Farrell | Physician Assistant | 103 Garland St, Everett, MA 02149 | 2010-08-19 |
| 1053503375 | Amanda Frances Farrell | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2007-08-10 |
| Street Address |
350 COUNTRY CLUB DR |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-9084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023304 | Gregory Paul Petro | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2005-06-15 |
| 1568927515 | Trevor Breck Armstrong | Nurse Practitioner | 350 Country Club Dr, Stockbridge, GA 30281-9084 | 2019-02-04 |
| 1487162392 | Rachel Gatlin Estes | Nurse Practitioner | 350 Country Club Dr, Stockbridge, GA 30281-9084 | 2018-01-12 |
| 1104086982 | Annie Josephine Cruz | Obstetrics & Gynecology | 350 Country Club Dr, Suite D, Stockbridge, GA 30281-9084 | 2008-06-14 |
| 1265624167 | Michael R Rutledge | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2007-08-14 |
| 1013126341 | Jarrod D Day | Surgery | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2007-05-22 |
| 1679695266 | Gary A Bartholomew | Dentist | 350 Country Club Dr, Suite E, Stockbridge, GA 30281-9084 | 2007-04-04 |
| 1710011333 | Jauna D Royal | Nurse Practitioner | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2007-03-15 |
| 1992835698 | Eagle's Landing Ob Gyn 2 LLC | Obstetrics & Gynecology | 350 Country Club Dr, Suite D, Stockbridge, GA 30281-9084 | 2007-03-06 |
| 1487753877 | Pritam Rao Polkampally | Internal Medicine | 350 Country Club Dr, Suite A, Stockbridge, GA 30281-9084 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877749 | Danyell Joelle Guyton | Nurse Practitioner | 215 Ballard Cir, Stockbridge, GA 30281-9605 | 2020-09-30 |
| 1043844830 | Tricia Jarrell Morris | Nurse Practitioner | 547 Winter View Way, Stockbridge, GA 30281-7799 | 2020-03-02 |
| 1831759778 | Stephanie Mcelreath | Nurse Practitioner | 350 Country Club Dr Ste D, Stockbridge, GA 30281-9084 | 2019-06-13 |
| 1396201885 | Dominique K Bethea | Nurse Practitioner | 550 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281-9083 | 2019-02-20 |
| 1285109678 | Alecia Kimberly Liburd | Nurse Practitioner | 380 Timber Top Dr, Stockbridge, GA 30281-1176 | 2018-10-11 |
| 1376037507 | Katrina Burns Bell | Nurse Practitioner | 201 Copperwood Ct, Stockbridge, GA 30281-1593 | 2018-06-20 |
| 1780178426 | Caroline Staines | Nurse Practitioner | 325 Viceroy Curv, Stockbridge, GA 30281-7780 | 2018-06-16 |
| 1033611439 | Sandra Thomas | Nurse Practitioner | 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281-7343 | 2018-03-02 |
| 1275046617 | Tammy T Tran | Nurse Practitioner | 1012 Lake Oconee Ct, Stockbridge, GA 30281-5973 | 2017-11-08 |
| 1023532231 | Shanae Mapp | Nurse Practitioner | 831 Fairways Ct, Stockbridge, GA 30281 | 2017-07-29 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on AMANDA LAUREN FARRELL.
| 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.