AMANDA LEIGH-ELLEN NEEDHAM


Address: 902 S Jefferson St, Roanoke, VA 24016-4404
Phone: 5409859862

AMANDA LEIGH-ELLEN NEEDHAM (NPI# 1720100860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720100860
Entity Type Individual
Full Name AMANDA LEIGH-ELLEN NEEDHAM
Credential WHNP
Practice Address 902 S Jefferson St
Roanoke
VA 24016-4404
Practice Telephone 5409859862
Practice Fax Number 5409859890
Mailing Telephone 5409859862
Mailing Fax Number 5409859890
Enumeration Date 2007-04-06
Last Update Date 2018-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
0001262505 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
APN0000008054 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 902 S JEFFERSON ST
City ROANOKE
State VA
Zip Code 24016-4404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427051853 Eduardo Lara-torre Obstetrics & Gynecology 902 S Jefferson St, Roanoke, VA 24016 2005-05-31
1134531536 Joni Nicole Sessor-kendrick Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2014-05-20
1740593730 Jennifer Holly Turner Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2010-07-19
1164741880 Stephanie Joyce Barnum Nurse Practitioner 902 S Jefferson St, Upper Level, Roanoke, VA 24016-4404 2010-05-20
1306000468 Charlene M Kegg Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2008-07-17
1033303508 Erinn E Hokanson Pediatrics 902 S Jefferson St, Roanoke, VA 24016-4404 2007-08-28
1790739258 Lee Andrew Learman Obstetrics & Gynecology 902 S Jefferson St, Roanoke, VA 24016-4404 2006-05-20
1528034089 Cynthia Marcum Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2006-02-24
1326014895 Sonia Vishneski Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2006-02-24
1477529972 Lori Dudley Psychologist 902 S Jefferson St, Roanoke, VA 24016 2006-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758329 Davis Andrew Sugar Student in an Organized Health Care Education/Training Program 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 2020-04-08
1356810659 Susanne Tribble Social Worker 202 Wells Ave Nw, Roanoke, VA 24016 2018-11-15
1801305818 Rena Lee Daye Driver 10 12th St. Sw, Roanoke, VA 24016 2017-09-21
1053841965 Christin Elledge Clark Nurse Practitioner 1234 Franklin Road, Roanoke, VA 24016 2017-06-13
1235685884 Helen Franck Physical Therapist 650 North Jefferson Street, Roanoke, VA 24016 2016-09-01
1457710238 Frances Marie Gaeta Social Worker 360 Campbell Ave, Roanoke, VA 24016 2016-02-22
1982073292 Sophie Mench Tranmer Physical Therapist 1421 Third St. Sw, Roanoke, VA 24016 2015-09-16
1982008181 National Counseling Group, Inc Psychiatry & Neurology 20 Walnut Avenue, Roanoke, VA 24016 2014-10-17
1366858342 National Counseling Group, Inc Psychiatry & Neurology 16 Walnut Avenue, Roanoke, VA 24016 2014-07-10
1427320878 Kristen L. Jagger Physical Medicine & Rehabilitation 1015 First Street Sw Suite 2, Roanoke, VA 24016 2012-02-01
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134531536 Joni Nicole Sessor-kendrick Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2014-05-20
1740593730 Jennifer Holly Turner Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2010-07-19
1164741880 Stephanie Joyce Barnum Nurse Practitioner 902 S Jefferson St, Upper Level, Roanoke, VA 24016-4404 2010-05-20
1306000468 Charlene M Kegg Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2008-07-17
1609037118 Virginia Kathleen Weisz Nurse Practitioner 515 8th St Sw, Roanoke, VA 24016-3529 2008-06-18
1992886642 Stephanie Leigh Quinn-phlipot Nurse Practitioner 21 Highland Ave Se, Suite 200, Roanoke, VA 24013-2201 2006-10-18
1326014895 Sonia Vishneski Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2006-02-24
1124014816 Dana Michelle Abney Nurse Practitioner 902 S Jefferson St, Roanoke, VA 24016-4404 2005-09-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396358651 Mickeya Patrice Hayes Nurse Practitioner 700 Oak Grove Rd, Chesapeake, VA 23320-3728 2020-08-26
1538790092 Megan Renae Deel Nurse Practitioner 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 2020-02-03
1609415249 Kaamilya King Nurse Practitioner 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 2019-12-30
1609419704 Crystal Zacker Nurse Practitioner 3843 Mountain Rd, Glen Allen, VA 23060-1936 2019-10-21
1144885849 Rachel Daou Featherstone Nurse Practitioner 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 2019-05-08
1326500976 Adetutu Marioghae Nurse Practitioner 12783 Sidney Way, Lake Ridge, VA 22192-7611 2019-04-03
1568928398 Laurie Carpenter Nurse Practitioner 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 2019-02-18
1659871713 Emily Nobles Nurse Practitioner 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 2018-02-15
1619490661 Misti S Gray Nurse Practitioner 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 2017-07-21
1437604881 Rosalie Marie Gunson Nurse Practitioner 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 2016-08-15
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Competitor

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City ROANOKE
Zip Code 24016

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Dataset Information

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.

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