DR. AMANDA R SELF (NPI# 1669548673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669548673 |
Entity Type | Individual |
Full Name | DR. AMANDA R SELF |
Credential | M.D. |
Practice Address |
7th Comm Bn Hq Co Bas Unit 35610 Fpo AP 96606-5610 |
Mailing Address |
3944 Highway 175 Frierson LA 71027-2159 |
Practice Telephone | 3184020604 |
Mailing Telephone | 3184020604 |
Enumeration Date | 2006-11-28 |
Last Update Date | 2008-04-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 01062935A | IN | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609276732 | Amanda Self | Nurse Practitioner | 8333 N Davis Hwy Fl 4, Pensacola, FL 32514-6050 | 2014-08-26 |
1982957742 | Amanda Lois Self | Social Worker | 4354 Stockton Dr, North Little Rock, AR 72117-2917 | 2012-10-17 |
Street Address |
7TH COMM BN HQ CO BAS UNIT 35610 |
City | FPO |
State | AP |
Zip Code | 96606-5610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720224769 | Tabot Kwo | Military Health Care Provider | Seventh Communication Company Bas, Unit 35608, Fpo, AP 96606 | 2008-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841899853 | London Mingo | Social Worker | 2769 Yaka Kin Cho, Fpo, AP 96388-0071 | 2020-10-21 |
1538768833 | James Blake Weldon | Military Health Care Provider | Unit 100517 Bx 1, Fpo, AP 09655 | 2020-10-19 |
1487260311 | Doria Living | Registered Nurse | Ushno, Fpo, AP 96367 | 2020-09-16 |
1225643307 | Brice Blahnik | Dentist | 1 St Dental Battalion/naval Dental Center Attn: Medical, Bldg 2238 A Ave Camp Pendleton, Ca. 92055-5221, Fpo, AA 92055-5221 | 2020-09-15 |
1609489061 | Genesis Health Care Inc | Home Health | Uss Wasp Lhd1 Unit 100261, Fpo, AE 09514 | 2020-08-26 |
1669081857 | Acacia L Elmer | Registered Nurse | Psc 808 Box 3104, Fpo, AE 09618-0032 | 2020-07-24 |
1932724754 | William Dowling | Student in an Organized Health Care Education/Training Program | 260 John Paul Jones Circle, Fpo, AA 23708 | 2020-06-09 |
1518581776 | Taylor D Benson | Audiologist | Building 960, Floor 3, East Wing, Fpo, AP 96362-0017 | 2020-06-03 |
1740803279 | Issa Khalil | Military Health Care Provider | Uss Donald Cook, Fpo, AE 09566 | 2020-05-19 |
1295360055 | Kiran Kumar Gurung | Dental Hygienist | Uss Bataan (lhd-5), Fpo, AE 09554-1657 | 2020-03-11 |
Find all providers in FPO |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992150692 | Caitlin Tallant | General Practice | Uss Arlington (lpd 24), Fpo, AE 09564-1706 | 2016-05-01 |
1306183058 | Andrew John Krispinsky | General Practice | Uss Gunston Hall, Unit 100259 Box 100, Fpo, AE 09573-1732 | 2013-01-14 |
1487929873 | Scott Gerald Story | General Practice | Navy Military Support Cmd: Attn: Medical Staff Services, Bldg H 2005 Knight Lane, Jacksonville, Fl, Fpo, AA 32212-0140 | 2012-03-19 |
1669743712 | Travis Obery Landry | General Practice | Psc 561 Box 316, Fpo, AP 96310-0004 | 2012-01-21 |
1366738494 | Nathan Robert Whitlow | General Practice | Uss Germantown (lsd 42), Fpo, AP 96666-1730 | 2011-06-27 |
1376854539 | Georgia Louise Marsh Mccrary | General Practice | Psc 810, Fpo, AE 09589 | 2010-06-23 |
1821225152 | Joseph Daniel Schwartz | General Practice | Electronic Attack Squadron One Three Two, Navy Hospital Oak Harbor, Fpo, AA 98221 | 2009-06-12 |
1538396064 | Colleen Tamara Hiebenthal | General Practice | Uss Comstock, Lsd 45, Fpo, AP 96662-1733 | 2009-06-11 |
1083812820 | Patrick Mckenna | General Practice | Comdesron 14, Medical Department, Fpo, AA 34099-4716 | 2007-07-03 |
1992914584 | Terrence Martin Kilfoil | General Practice | Uss Harpers Ferry, Fpo, AP 96665 | 2007-05-21 |
Find all providers in FPO |
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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.