AMANDA LOUISE WHORTON (NPI# 1609342468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609342468 |
| Entity Type | Individual |
| Full Name | AMANDA LOUISE WHORTON |
| Practice Address |
12451 E 100th St N Owasso OK 74055-4600 |
| Mailing Address |
6600 S Yale Ave Ste 1200 Tulsa OK 74136-3361 |
| Practice Telephone | 9182745000 |
| Mailing Telephone | 9184886687 |
| Mailing Fax Number | 9184886098 |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
113613 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12451 E 100TH ST N |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538196399 | Frank A Desandre Jr. | Anesthesiology | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-06-27 |
| 1104324615 | Elizabeth Flores | Nurse Practitioner | 12451 E 100th St N, Owasso, OK 74055 | 2018-01-30 |
| 1114257508 | Magnum Health Care, Inc. | Emergency Medicine | 12451 E 100th St N, Owasso, OK 74055-4600 | 2010-01-06 |
| 1861699738 | Audrey Melissa Stanton | Emergency Medicine | 12451 E 100th St N, Emergency Dept, Owasso, OK 74055-4600 | 2007-07-02 |
| 1447454541 | Asif Sarfraz | Emergency Medicine | 12451 E 100th St N, St John Owasso Emergency Dept, Owasso, OK 74055-4600 | 2007-06-13 |
| 1497960009 | Owasso Medical Facility LLC | Clinic/Center | 12451 E 100th St N, Owasso, OK 74055-4600 | 2007-05-14 |
| 1437226917 | Owasso Medical Facility LLC | Pharmacy | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-11-29 |
| 1932219839 | Bryan P. Shelton | Anesthesiology | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-08-30 |
| 1144231432 | Owasso Medical Facility, Inc | General Acute Care Hospital | 12451 E 100th St N, Owasso, OK 74055-4600 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548796774 | Quyen Minh Miller | Nurse Practitioner | 7216 Ne 116th St, Edmond, OK 73013-4802 | 2017-05-09 |
| 1922423565 | Erica Renee Doerfler | Nurse Practitioner | 1200 Everett Dr Fl 7, Dept of Pediatrics, Oklahoma City, OK 73104-5047 | 2014-02-19 |
| 1164450060 | Patricia Gregg Lacey | Nurse Practitioner | 9129 E 74th St, Tulsa, OK 74133-5286 | 2006-06-29 |
| 1649731860 | Aftin Lois Johnston | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-03-29 |
| 1043770076 | Jeremy Owens | Nurse Practitioner | 1200 Everett Dr Fl 7, Oklahoma City, OK 73104-5047 | 2019-03-25 |
| 1437610375 | Amber Elizabeth Fox | Nurse Practitioner | 1200 Everett Dr Fl 7, Oklahoma City, OK 73104-5047 | 2019-03-25 |
| 1093280638 | Joleen Cervantez | Nurse Practitioner | 6151 S Yale Ave # Levelb, Tulsa, OK 74136-1907 | 2018-10-10 |
| 1376053561 | Whitney Herrera | Nurse Practitioner | 1120 S Utica Ave, Tulsa, OK 74104-4012 | 2017-10-03 |
| 1487191268 | Amy Houston | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-01-31 |
| 1295272383 | Kacee Gharfeh | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.