MISS AMANDA VALLEN WEST (NPI# 1629537634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629537634 |
| Entity Type | Individual |
| Full Name | MISS AMANDA VALLEN WEST |
| Credential | CPNP |
| Practice Address |
5211 Highway 278 Ne Covington GA 30014-2671 |
| Mailing Address |
2041 Burning Bush Ln Conyers GA 30094-1120 |
| Practice Telephone | 7707877444 |
| Practice Fax Number | 7707875050 |
| Mailing Telephone | 6787350524 |
| Mailing Fax Number | 7707875050 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN181771 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578991519 | Amanda West | Counselor | 1074 S Dixie Blvd, Radcliff, KY 40160-1103 | 2013-10-30 |
| 1669592002 | Amanda Elizabeth West | Social Worker | 6601 W. North Ave., Oak Park, IL 60302 | 2007-03-30 |
| 1467069526 | Amanda West | Counselor | 1305 E Indian Trl, Aurora, IL 60505-1600 | 2020-09-23 |
| 1659908531 | Amanda West | Student in an Organized Health Care Education/Training Program | 25 Shattuck St, Boston, MA 02115-6092 | 2020-03-23 |
| 1053943704 | Amanda Grace West | Behavior Technician | 901 N Santa Fe Ave, Fountain, CO 80817-1738 | 2020-02-11 |
| 1568973873 | Amanda Reneee West | Behavior Technician | 85-761 Farrington Hwy Ste 206, Waianae, HI 96792-2463 | 2017-10-13 |
| 1659803864 | Amanda Michelle West | Occupational Therapist | 4301 W Markham St, 1431, Little Rock, AR 72205-7101 | 2017-03-28 |
| 1770962854 | Amanda M West | Case Manager/Care Coordinator | 975 A Kingsview Drive, Lebanon, OH 45036-9562 | 2015-05-22 |
| 1063706026 | Amanda Lee West | Nurse Practitioner | 551616 Us Highway 1, Hilliard, FL 32046-8281 | 2011-06-07 |
| 1538339759 | Amanda Jean West | Military Health Care Provider | 150 Flanders Rd, Westboro, MA 01582 | 2008-03-04 |
| Street Address |
5211 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336153733 | Karuna Shah | Psychiatry & Neurology | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2006-07-28 |
| 1336353093 | Southeastern Neurology Associates,llc | Specialist | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134665250 | Mindy Decker Kass | Nurse Practitioner | 319 S Tyler St, Covington, LA 70433-3037 | 2017-01-12 |
| 1053715318 | Deborah Edwards Davis | Nurse Practitioner | 2501 Valley Ridge Road, Covington, VA 24426-6339 | 2014-10-15 |
| 1811916067 | Brandy M Andrew | Nurse Practitioner | 1850 Madison Street, Covington, KY 41011 | 2006-07-19 |
| 1972155174 | Haley Reynolds | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2019-07-09 |
| 1124494588 | Hannah Addis | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2015-08-19 |
| 1164826350 | Erin Michelle Wattles | Nurse Practitioner | 17700 Se 272nd St, Covington, WA 98042-4951 | 2014-10-16 |
| 1710395660 | Jennifer Dorand Guillory | Nurse Practitioner | 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 | 2014-07-23 |
| 1770993560 | Daphnee Leigh Stewart | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2014-05-01 |
| 1467727263 | Julie Buff Walter | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2012-03-13 |
| 1386958650 | Melissa Ann Rice | Nurse Practitioner | 1401 Madison Ave, Covington, KY 41011-3313 | 2010-07-29 |
| Find all providers in COVINGTON | ||||
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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.