AMANDA G. OLSEN (NPI# 1609143411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609143411 |
| Entity Type | Individual |
| Full Name | AMANDA G. OLSEN |
| Credential | PA |
| Practice Address |
300 W 27th St Lumberton NC 28358-3075 |
| Practice Telephone | 9106715032 |
| Mailing Telephone | 9106715032 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2013-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200488 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2171305 | 05 | |
| MS | 01825596 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326656059 | Amanda M Olsen | Hearing Instrument Specialist | 2700 39th Ave Ne Ste A119, Minneapolis, MN 55421-4385 | 2020-07-20 |
| 1700168465 | Amanda B Olsen | Social Worker | 1500 Division St Fl 1, Oregon City, OR 97045-1527 | 2011-09-19 |
| 1225663768 | Amanda Elizabeth Olsen | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-03-05 |
| 1841653433 | Amanda Michelle Olsen | Student in an Organized Health Care Education/Training Program | 2043 College Way, Forest Grove, OR 97116-1756 | 2016-03-31 |
| 1407227507 | Amanda Olsen | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2015-10-14 |
| 1407154354 | Amanda S Olsen | Physician Assistant | 2400 Witzel Ave, Ste. A, Oshkosh, WI 54904-8374 | 2011-03-02 |
| Street Address |
300 W 27TH ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498354 | John Davis Hepler | Obstetrics & Gynecology | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-06-21 |
| 1215536610 | Grant Hoffman Joerger | Nurse Anesthetist, Certified Registered | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-19 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1952917742 | Jennifer Renee Owen | Nurse Practitioner | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-09-17 |
| 1992328199 | Kristyn Nicole Flynn | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-21 |
| 1619590130 | Gregory Nathaniel Griffin | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1588287023 | Laura Christine James | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-19 |
| 1932721735 | Jacob Mitchell Pearce | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-14 |
| 1891317871 | Michael David-phillip Harris | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| 1912529900 | Renaud Srivatsav Komandur | Student in an Organized Health Care Education/Training Program | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548547268 | Laura E Seczech | Physician Assistant | 1613 Route 38 Fl 1, Lumberton, NJ 08048-2921 | 2011-11-09 |
| 1134726797 | Giulia Maria Oliva | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2020-10-07 |
| 1346886454 | Gregory Charles Miller | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2019-11-24 |
| 1972963197 | Derek Yee | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2016-03-01 |
| 1386077790 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-21 |
| 1982037578 | Southeastern Regional Medical Center | Physician Assistant | 2002 N Cedar St Ste B, Lumberton, NC 28358-3926 | 2013-08-19 |
| 1528121456 | Earl Cummings | Physician Assistant | 395 W 27th St, Lumberton, NC 28358-3018 | 2006-12-19 |
| 1477552198 | Joanna Price Read | Physician Assistant | 300 W 27th St, Lumberton, NC 28358-3075 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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| 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.