DR. AMANDA DRAKE MYERS (NPI# 1619490372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619490372 |
| Entity Type | Individual |
| Full Name | DR. AMANDA DRAKE MYERS |
| Credential | DNP, FNP-C |
| Practice Address |
12610 N Community House Rd Ste 100 Charlotte NC 28277-3892 |
| Mailing Address |
205 N Main St Wingate NC 28174-8287 |
| Practice Telephone | 7047523730 |
| Practice Fax Number | 7047529056 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5009697 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 205 N Main St, Wingate, NC 281748287 | 7042338102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405634 | Amanda Jo Myers | Technician | 5160 Trace Fork Rd, Sandyville, WV 25275-6619 | 2020-07-28 |
| 1972164960 | Amanda Shantel Myers | Social Worker | 1920 S Cincinnati Ave, Tulsa, OK 74119-5228 | 2019-06-21 |
| 1881257269 | Amanda Gayle Myers | Behavior Technician | 1434 N Clodfelter Rd, High Point, NC 27265-7313 | 2019-04-21 |
| 1710459987 | Amanda Kaye Myers | Speech-Language Pathologist | 2750 Ne Iler St, Newport, OR 97365-1904 | 2018-12-27 |
| 1255720603 | Amanda S Myers | Speech-Language Pathologist | 940 Bayside Ln, Minnetrista, MN 55364 | 2015-01-22 |
| 1841695038 | Amanda Myers | Physical Therapist | 17979 Stover Ln, Rogers, AR 72756-7928 | 2014-10-30 |
| 1932512142 | Amanda Myers | Nurse Practitioner | 204 Patrick Avenue, Urbana, OH 43078 | 2014-06-05 |
| 1518081165 | Amanda Beth Myers | Specialist/Technologist | 419 Middle Rd, Raritan High School, Hazlet, NJ 07730-2428 | 2007-03-19 |
| 1053395467 | Amanda Beth Myers | Pediatrics | 231 East Chestnut Street, Louisville, KY 40202-1821 | 2005-11-30 |
| 1346852381 | Amanda Marie Myers | Behavior Technician | 7264 Columbia Rd Ste 1000, Mason, OH 45039-8086 | 2020-08-20 |
| Street Address |
12610 N COMMUNITY HOUSE RD STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832696 | Todd Douglas Cohen | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2005-09-22 |
| 1154690998 | Piedmont Pharmacy LLC | Pharmacy | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2011-12-23 |
| 1629239256 | Stephen Ernest Mckim | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2008-06-17 |
| 1912926668 | Arthur J Lim | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
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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.