MRS. AMANDA BYRD MCCORMACK (NPI# 1730575143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730575143 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BYRD MCCORMACK |
| Credential | ARNP, NP-C |
| Practice Address |
2523 Dora Ave Tavares FL 32778 |
| Practice Telephone | 3525085176 |
| Practice Fax Number | 3525085179 |
| Mailing Telephone | 3525085176 |
| Mailing Fax Number | 3525085179 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9164870 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245719673 | Amanda Mccormack | Pharmacist | 3171 Directors Row, Memphis, TN 38131 | 2018-08-07 |
| Street Address |
2523 DORA AVE |
| City | TAVARES |
| State | FL |
| Zip Code | 32778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912197542 | Saterra Vishnu | Acupuncturist | 2523 Dora Ave, Tavares, FL 32778-4977 | 2007-07-30 |
| 1447780556 | Elizabeth Barger | Nurse Practitioner | 2523 Dora Ave, Tavares, FL 32778-4977 | 2017-06-13 |
| 1215278783 | Richard Olton | Physician Assistant | 2523 Dora Ave, Tavares, FL 32778-4977 | 2013-03-08 |
| 1679854343 | Tavares Pediatrics Inc | Clinic/Center | 2523 Dora Ave, Tavares, FL 32778-4977 | 2011-09-07 |
| 1386966968 | Excel Pediatrics | Pediatrics | 2523 Dora Ave, Tavares, FL 32778-4977 | 2010-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487173753 | Erica Denise Irvin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4681 Marsh Harbor Dr, Tavares, FL 32778 | 2017-09-18 |
| 1922522499 | J&t Divine Care | Home Health | 1554 Auburn Hills Ct, Tavares, FL 32778 | 2017-07-27 |
| 1841738721 | Kelli Maragh | Behavior Technician | 12237 Tavares Ridge Circle, Tavares, FL 32778 | 2017-02-10 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1235680042 | Natalie Roaine Ash-maheux | Occupational Therapist | 4501 Waterman Way, Tavares, FL 32778 | 2016-10-17 |
| 1396295713 | Sumiko Burley- Collins | Community Health Worker | 1572 Auburn Hills Court, Tavares, FL 32778 | 2016-10-10 |
| 1295100980 | Sunshine Therapy Group, Pa | Speech-Language Pathologist | 2050 Classique Lane, Tavares, FL 32778 | 2015-12-06 |
| 1093188385 | Jana Michelle England | Counselor | 1300 Duncan, Tavares, FL 32778 | 2015-11-09 |
| 1467865980 | Reshma Balmick | Hearing Instrument Specialist | 500 West Burleigh Blvd., Tavares, FL 32778 | 2014-06-03 |
| 1861825739 | Shelagh Kathryn Wood-gouveia | Nurse Practitioner | 1390 East Burleigh Blvd., Tavares, FL 32778 | 2013-08-15 |
| Find all providers in zip 32778 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487284824 | Michael William Lee Jr. | Nurse Practitioner | 1100 Lake Elsie Dr, Tavares, FL 32778-4985 | 2020-01-24 |
| 1831633692 | Amanda Williams Sellers | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778 | 2016-12-13 |
| 1437582822 | Daisy Anndrea Parks | Nurse Practitioner | 1939 Salk Ave, Tavares, FL 32778-4306 | 2013-08-20 |
| 1427674472 | Amanda Katherine Poole | Nurse Practitioner | 1691 Mayo Dr, Tavares, FL 32778-4301 | 2020-06-24 |
| 1104488907 | Genesis Edlin Guerrero | Nurse Practitioner | 1858 Mayo Dr, Tavares, FL 32778-4320 | 2019-07-01 |
| 1336700434 | Katie Michele Sanford | Nurse Practitioner | 1755 David Walker Dr, Tavares, FL 32778-5745 | 2019-06-28 |
| 1518425131 | Shinumol Sabu | Nurse Practitioner | 3150 Waterman Way, Tavares, FL 32778-5252 | 2019-03-04 |
| 1437623998 | Bryan James Mccall | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2019-01-17 |
| 1700392727 | Rona Tagalog | Nurse Practitioner | 1707 Mayo Dr, Tavares, FL 32778-4307 | 2017-12-28 |
| 1649786062 | Carine Elisma | Nurse Practitioner | 1000 Waterman Way, Tavares, FL 32778-5266 | 2017-12-21 |
| Find all providers in TAVARES | ||||
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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.