AMANDA ELYSE RUDNICKI (NPI# 1710350608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710350608 |
| Entity Type | Individual |
| Full Name | AMANDA ELYSE RUDNICKI |
| Other Name | AMANDA ELYSE KOTHEIMER |
| Credential | CNP |
| Practice Address |
715 E Western Reserve Rd Poland OH 44514-3358 |
| Practice Telephone | 3307263204 |
| Practice Fax Number | 3307299316 |
| Mailing Telephone | 3307263204 |
| Mailing Fax Number | 3307299316 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.18485 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0151502 | 05 |
| Street Address |
715 E WESTERN RESERVE RD |
| City | POLAND |
| State | OH |
| Zip Code | 44514-3358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881699585 | David Anthony Belvedere | Internal Medicine | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2005-06-17 |
| 1306375787 | David Michael Klacik | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2017-06-08 |
| 1770026569 | Laura Madeline Mancini | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2016-11-28 |
| 1396104519 | Linda Lou Thomas | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2016-02-16 |
| 1447652458 | Lisa M Elliott | Nurse Practitioner | 715 E Western Reserve Rd, 2nd Fl, Poland, OH 44514-3358 | 2014-09-22 |
| 1245649615 | Jodi Micsky | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2014-08-10 |
| 1952721060 | Laith Alkukhun | Internal Medicine | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2014-04-16 |
| 1861819328 | Angela C Mcfarland | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2014-03-23 |
| 1801162888 | Rene Hugo Cuadra | Internal Medicine | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2012-03-23 |
| 1629363189 | Rebecca Cene | Nurse Practitioner | 715 E Western Reserve Rd, Poland, OH 44514-3358 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
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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.