AMANDA BLACK (NPI# 1609251073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609251073 |
| Entity Type | Individual |
| Full Name | AMANDA BLACK |
| Credential | FNP-BC |
| Practice Address |
327 Park Ave Fort Lupton CO 80621-1929 |
| Practice Telephone | 3038572711 |
| Mailing Telephone | 3038572711 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0991845-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548506009 | Amanda Kay Black | Occupational Therapy Assistant | 110 N Arbor Park, Louisville, KY 40214-2711 | 2013-01-02 |
| 1154966620 | Amanda Virginia Black | Behavioral Analyst | 1000 Crawford Pl, Mount Laurel, NJ 08054-3932 | 2019-11-08 |
| 1285278549 | Amanda Nichole Black | Behavior Technician | 2520 University Park Bldg D, Mt Pleasant, MI 48858-4464 | 2019-10-30 |
| 1487201851 | Amanda M Black | Counselor | 499 W 4th Ave, Eugene, OR 97401-2505 | 2019-08-21 |
| 1285286948 | Amanda Black | Social Worker | 511 8th St, Clarksville, TN 37040-3093 | 2019-07-12 |
| 1992362818 | Amanda Black | Occupational Therapist | 520 N 3rd Ave, Sandpoint, ID 83864-1507 | 2019-05-27 |
| 1821504341 | Amanda Black | Physician Assistant | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2017-12-20 |
| 1215480595 | Amanda Nicole Black | Nurse Practitioner | 8260 Atlee Road, Mechanicsville, VA 23116 | 2016-08-03 |
| 1821450891 | Amanda Rae Schwenn Black | Psychiatry & Neurology | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2016-03-28 |
| 1265715551 | Amanda Kay Black | Pharmacist | 2351 Dawson Rd, Albany, GA 31707-2435 | 2011-09-22 |
| Street Address |
327 PARK AVE |
| City | FORT LUPTON |
| State | CO |
| Zip Code | 80621-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699784181 | Martin Daniel Mcdermott | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-08-05 |
| 1174162507 | Sarah Kirby Johnson | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2020-01-02 |
| 1982169256 | Jaden Amanda Houck | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2019-01-31 |
| 1689121311 | Jennifer Zirul | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2016-09-11 |
| 1205928264 | Martin Mcdermott Md PC | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-09-28 |
| 1134226640 | Mary C Weis-fout | Family Medicine | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659741247 | Workwellness Inc | Clinic/Center | 1450 Dexter Ave, Fort Lupton, CO 80621 | 2015-09-25 |
| 1386902294 | Kathryn M. Bowker | Counselor | 260 College Ave, Fort Lupton, CO 80621 | 2012-04-27 |
| 1225241946 | Theresa S Doi | Physical Therapist | 721 4th Street, Suite B, Fort Lupton, CO 80621 | 2007-05-08 |
| 1003946450 | Terry W Williams Dc PC | Chiropractor | 331 Park Avenue, Fort Lupton, CO 80621 | 2007-03-06 |
| 1548326200 | Glenda P Walden | Counselor | 120 1st Street, Ft. Lupton, CO 80621 | 2006-12-28 |
| 1447329099 | Caring Hands Pharmacy Inc | Pharmacy | 105 Dales Place, Fort Lupton, CO 80621 | 2006-11-07 |
| 1942382023 | Ft Lupton Medical Team PC | Family Medicine | 308 Denver Ave, Fort Lupton, CO 80621 | 2006-10-19 |
| 1841393253 | Irene Margaret Holloman | Dentist | 229 Denver Ave, Fort Lupton, CO 80621 | 2006-09-07 |
| 1346575586 | North Range Behavioral Health | Clinic/Center | 145 1st St, Fort Lupton, CO 80621 | 2009-10-06 |
| 1366620775 | Terry Wade Williams | Chiropractor | 331 Park Ave, Fort Lupton, CO 80621 | 2008-02-07 |
| Find all providers in zip 80621 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139273 | Jaime Macelroy | Nurse Practitioner | 14631 County Road 10, Fort Lupton, CO 80621-8203 | 2018-10-09 |
| 1063964096 | Susan Hayes | Nurse Practitioner | 1450 Dexter St, Fort Lupton, CO 80621-1503 | 2016-10-25 |
| 1174162507 | Sarah Kirby Johnson | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2020-01-02 |
| 1437701000 | Olga A Textoris | Nurse Practitioner | 112 S Denver Ave, Fort Lupton, CO 80621-1306 | 2019-07-12 |
| 1982169256 | Jaden Amanda Houck | Nurse Practitioner | 327 Park Ave, Fort Lupton, CO 80621-1929 | 2019-01-31 |
| 1417332156 | Cynthia Ann Bates | Nurse Practitioner | 1115 2nd St, Fort Lupton, CO 80621-1745 | 2015-07-23 |
| 1508298209 | Cara Spencer | Nurse Practitioner | 315 Park Ave, Fort Lupton, CO 80621-1929 | 2013-08-05 |
| 1922340082 | Michelle Kaiser | Nurse Practitioner | 315 Park Ave, Fort Lupton, CO 80621-1929 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
| 1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
| 1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
| 1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
| 1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
| 1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
| Find all providers with the same taxonomy | ||||
| City | FORT LUPTON |
| Zip Code | 80621 |
Please comment or provide details below to improve the information on AMANDA BLACK.
| 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.