AMANDA SELF (NPI# 1609276732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609276732 |
| Entity Type | Individual |
| Full Name | AMANDA SELF |
| Credential | FNP-C |
| Practice Address |
8333 N Davis Hwy Fl 4 Pensacola FL 32514-6050 |
| Mailing Address |
8333 N. Davis Highway 4th Floor Pensacola FL 32514 |
| Practice Telephone | (850) 969-7979 |
| Practice Fax Number | 8504769352 |
| Mailing Telephone | (850) 969-7979 |
| Mailing Fax Number | 8504769352 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9392793 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 168604 | 05 | |
| GA | 003154313 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669548673 | Amanda R Self | General Practice | 7th Comm Bn Hq Co Bas, Unit 35610, Fpo, AP 96606-5610 | 2006-11-28 |
| 1982957742 | Amanda Lois Self | Social Worker | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2012-10-17 |
| Street Address |
8333 N DAVIS HWY FL 4 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32514-6050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815455 | Vicki Pauline Merold | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514 | 2005-10-19 |
| 1346503398 | West Florida Cardiology Physicians, LLC | Internal Medicine | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2012-06-23 |
| 1669765533 | Andrew James Moses | Internal Medicine | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514 | 2011-05-25 |
| 1609196377 | David M Anwar | Internal Medicine | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2010-06-04 |
| 1629141411 | Charles P. Riley | Specialist | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2006-11-17 |
| 1962456251 | Donna M Matthews-pollock | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2006-05-20 |
| 1205884178 | Farhat Mehmood | Internal Medicine | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568920643 | Cameron Rae Mackey | Student in an Organized Health Care Education/Training Program | 9091 Aiway Dr, Apt 622, Pensacola, FL 32514 | 2019-03-07 |
| 1083182612 | B & B of Pensacola LLC | Home Health | 2024 E Olive Rd, Pensacola, FL 32514 | 2018-11-13 |
| 1902398423 | Chana Levy | Developmental Therapist | 10080 Hillview Dr # 387b, Pensacola, FL 32514 | 2018-05-31 |
| 1629407663 | James Daniel Langston | Registered Nurse | 8383 North Davie Highway, Pensacola, FL 32514 | 2013-11-08 |
| 1174956197 | Valerie Kuloba | Pharmacist | 9251 University Parkway, Pensacola, FL 32514 | 2013-08-13 |
| 1548550924 | Pamela Lynn Trammel | Nurse Practitioner | 8383 North Davis Hywy, West Florida Hospital, Pensacola, FL 32514 | 2011-04-19 |
| 1659609378 | Michael Smith | Physical Therapy Assistant | 10100 Hillveiw Dr., Pensacola, FL 32514 | 2009-11-19 |
| 1154582906 | Karen Buchanan Bailey | Dentist | 2322 Copter Road, Pensacola, FL 32514 | 2008-06-24 |
| 1811181985 | Sandra Paquingan Kloman | Registered Nurse | 9400 University Parkway #10c, Medical Professional Agency, Pensacola, FL 32514 | 2007-08-31 |
| 1083826523 | Renfroe Spinal Center LLC | Chiropractor | 1421 East Nine Mile Rd, Pensacola, FL 32514 | 2007-05-04 |
| Find all providers in zip 32514 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121156 | Evangeline Mahima Standridge | Nurse Practitioner | 7828 Woodpointe Dr, Pensacola, FL 32514-6625 | 2020-10-13 |
| 1902411143 | Richard Hutson | Nurse Practitioner | 3660 Cherry Laurel Dr, Pensacola, FL 32504-7519 | 2020-09-14 |
| 1982218202 | Sherri Louise Pucillo | Nurse Practitioner | 1717 N E St Ste 526, Pensacola, FL 32501-6333 | 2020-09-03 |
| 1740893841 | Krista Ivana Robinson | Nurse Practitioner | 5995 Arch Ave, Pensacola, FL 32526-3232 | 2020-08-28 |
| 1578173670 | Lalita Combs | Nurse Practitioner | 6013 Patch Ln, Pensacola, FL 32526-9177 | 2020-08-04 |
| 1053929075 | Cynthia Elaine Garay | Nurse Practitioner | 4270 Langley Ave, Pensacola, FL 32504-8454 | 2020-07-15 |
| 1083254742 | Brittany Beasley Perez | Nurse Practitioner | 543a Fontaine St Ste A, Pensacola, FL 32503-2018 | 2020-01-10 |
| 1912540238 | Jeanne Clack Harris | Nurse Practitioner | 3002 E Jackson St, Pensacola, FL 32503-6437 | 2019-10-18 |
| 1598315608 | Lanora Glaze | Nurse Practitioner | 1645 Elmhurst Rd, Pensacola, FL 32505-1039 | 2019-09-19 |
| 1710547609 | Stephanie Evans | Nurse Practitioner | 6202 N 9th Ave Ste 1a, Pensacola, FL 32504-8291 | 2019-06-13 |
| Find all providers in PENSACOLA | ||||
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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.