AMANDA ROSE IANNOTTI (NPI# 1679042535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679042535 |
| Entity Type | Individual |
| Full Name | AMANDA ROSE IANNOTTI |
| Credential | LMHC |
| Practice Address |
3333 W 20th St Jacksonville FL 32254-1703 |
| Mailing Address |
Po Box 19249 Jacksonville FL 32245-9249 |
| Practice Telephone | 9046959145 |
| Practice Fax Number | 9046952465 |
| Mailing Telephone | 9047431883 |
| Mailing Fax Number | 9047435309 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16379 | FL | Behavioral Health & Social Service Providers |
| Street Address |
3333 W 20TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033174495 | Renato R Alcalde | Psychiatry & Neurology | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2006-04-19 |
| 1699315911 | Casey Goss | Nurse Practitioner | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2020-01-14 |
| 1649827445 | Johneisha Denise Clark | Registered Nurse | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2019-08-26 |
| 1821562570 | Brittnai Johnson | Nurse Practitioner | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2019-01-16 |
| 1356818223 | Patrick Ian Smith | Nurse Practitioner | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2018-10-30 |
| 1457840837 | Donna Margaret Reid Lunsford | Nurse Practitioner | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2018-05-01 |
| 1093256158 | Gretchen Hamm | Counselor | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2017-03-09 |
| 1104292200 | Robin D Belcher-howard | Nurse Practitioner | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2015-08-12 |
| 1952798068 | Cynthia O'brien | Social Worker | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2015-04-16 |
| 1114317187 | Karen Villanueva | Counselor | 3333 W 20th St, Jacksonville, FL 32254-1703 | 2015-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| Find all providers in zip 32254 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720519 | Ashley Harms | Counselor | 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 | 2020-11-03 |
| 1902418684 | Molly Ann Burkhardt | Counselor | 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 | 2020-08-23 |
| 1194335638 | Aiteria Green | Counselor | 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 | 2020-08-07 |
| 1053920116 | Barbara Burden | Counselor | 209 N Carole Dr, Jacksonville, NC 28546-4845 | 2020-07-24 |
| 1790393973 | Kelley Holladay | Counselor | 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 | 2020-07-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1447877709 | Quendria Johnson-kerns | Counselor | 200 Zonnie Ln, Jacksonville, NC 28540-9729 | 2020-07-02 |
| 1467077164 | Shanna Horan | Counselor | 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 | 2020-06-09 |
| 1720602527 | Shannon E Raikes | Counselor | 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 | 2020-06-08 |
| 1750905253 | Kathlena N Reed | Counselor | 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 | 2020-06-01 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32254 |
Please comment or provide details below to improve the information on AMANDA ROSE IANNOTTI.
| 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.