AMANDA K REICHENBACH (NPI# 1659709673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659709673 |
| Entity Type | Individual |
| Full Name | AMANDA K REICHENBACH |
| Credential | FNP |
| Practice Address |
1901 S. Shady Street Mountain City TN 37683-2601 |
| Mailing Address |
365 Stout Drive Box 70403 Johnson City TN 37614-1703 |
| Practice Telephone | 4237271150 |
| Practice Fax Number | 4237271134 |
| Mailing Telephone | 4234394515 |
| Mailing Fax Number | 4234394060 |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18023 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1533577 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2151 Century Ln, Johnson City, TN 376044469 | 4239262500 | 4239265999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962529842 | Amanda S Reichenbach | Licensed Practical Nurse | 1 Jonna Dr, Beavertown, PA 17813-9706 | 2007-03-23 |
| 1093286890 | Amanda Marie Reichenbach | Physical Therapist | 6451 N Charles St, Baltimore, MD 21212-1010 | 2018-12-06 |
| Street Address |
1901 S. SHADY STREET |
| City | MOUNTAIN CITY |
| State | TN |
| Zip Code | 37683-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245749126 | Sugaree Ganzman | Registered Nurse | 277 Trout Run Rd, Mountain City, TN 37683 | 2017-09-24 |
| 1013390764 | Emily B. Mcqueen | Nurse Practitioner | 1901 South Shady Street, Mountain City, TN 37683 | 2015-06-30 |
| 1972917755 | Kelly Horne Singleton | Nurse Practitioner | 3916 Hwy 421 South, Mountain City, TN 37683 | 2014-06-19 |
| 1710025069 | Sheila Annette Porter | Counselor | 318 Donnelly Street, Mtn City, TN 37683 | 2007-02-01 |
| 1619050390 | Brandy Lynn Bennett | Case Manager/Care Coordinator | 318 Donnelley Street, Johnson Co Counsel Cent, Mtn City, TN 37683 | 2006-10-24 |
| 1811086317 | Robb R Miller | Counselor | 318 Donnelley St, Johnson County Counseling Center, Mountain City, TN 37683 | 2006-10-12 |
| 1700834678 | Margaret Grace Steward | Pharmacist | 1641 South Shady St, Mountain City, TN 37683 | 2006-05-04 |
| 1184169658 | Wanda Jarrett | Nurse Practitioner | 1901 S Shady St, Mountain City, TN 37683 | 2016-12-20 |
| 1699014068 | Heather Newman | Family Medicine | 222 Oak St, Mountain City, TN 37683 | 2013-02-05 |
| 1336207141 | Joe A Ray | Dentist | 315 W Main St, Mountain City, TN 37683 | 2006-12-05 |
| Find all providers in zip 37683 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979617 | Kimberly Kay Kleine | Nurse Practitioner | 100 Kellogg Dr, Mountain City, TN 37683-4077 | 2018-10-31 |
| 1013390764 | Emily B. Mcqueen | Nurse Practitioner | 1901 South Shady Street, Mountain City, TN 37683 | 2015-06-30 |
| 1972917755 | Kelly Horne Singleton | Nurse Practitioner | 3916 Hwy 421 South, Mountain City, TN 37683 | 2014-06-19 |
| 1972915528 | Tracy M Slemp | Nurse Practitioner | 524 S Church St, Mountain City, TN 37683-1816 | 2014-05-29 |
| 1235796285 | Logan Wayne Edwards | Nurse Practitioner | 5249 Highway 67 W, Mountain City, TN 37683-6471 | 2019-05-24 |
| 1316415706 | Sheila Ann Matherly | Nurse Practitioner | 1901 S Shady St, Mountain City, TN 37683-2021 | 2018-11-05 |
| 1245735810 | Wendy Lee Henley | Nurse Practitioner | 211 N Church St, Mountain City, TN 37683-1325 | 2018-03-27 |
| 1366962631 | Lindsey Debord Yoggerst | Nurse Practitioner | 1901 S Shady St, Mountain City, TN 37683-2021 | 2017-06-27 |
| 1548718752 | April Morrison | Nurse Practitioner | 1901 S Shady St, Mountain City, TN 37683-2021 | 2016-09-16 |
| 1578819439 | Deborah J Hassebrock | Nurse Practitioner | 1901 S Shady Street, Mountain City, TN 37683-2021 | 2012-07-30 |
| Find all providers in MOUNTAIN CITY | ||||
| City | MOUNTAIN CITY |
| Zip Code | 37683 |
Please comment or provide details below to improve the information on AMANDA K REICHENBACH.
| 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.