AMELIA L PAULEY (NPI# 1760973424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760973424 |
Entity Type | Individual |
Full Name | AMELIA L PAULEY |
Other Name | AMELIA L MCCLURE |
Credential | PMHNP |
Practice Address |
101 Industry Rd Bridgeport IL 62417-2442 |
Mailing Address |
800 E Locust St Olney IL 62450-2553 |
Practice Telephone | 6189453001 |
Practice Fax Number | 6189453005 |
Mailing Telephone | 6183957340 |
Mailing Fax Number | 6183923228 |
Enumeration Date | 2018-05-29 |
Last Update Date | 2019-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 28191422A | IN | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209019285 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71008296A | IN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
101 INDUSTRY RD |
City | BRIDGEPORT |
State | IL |
Zip Code | 62417-2442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124673256 | Gretchen Ginder | Family Medicine | 101 Industry Rd, Bridgeport, IL 62417-2442 | 2019-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740375229 | Red Hill Cu School Dist 10 | Local Education Agency (LEA) | 1250 Judy Ave, Bridgeport, IL 62417 | 2006-10-03 |
1922514082 | Tricia Rae Inyart | Speech-Language Pathologist | 1300 N Main St, Bridgeport, IL 62417-1300 | 2017-12-26 |
1346243672 | Ernest & Susan L Roales | Pharmacy | 208 N Main St, Bridgeport, IL 62417-1522 | 2005-05-31 |
1053810390 | Ernest Paul Roales | Pharmacist | 208 N Main St, Bridgeport, IL 62417-1522 | 2018-02-01 |
1871677005 | Albert W Lewis | Ambulance | 1305 Ash St, Bridgeport, IL 62417-1707 | 2006-10-24 |
1144643354 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2014-01-23 |
1184613515 | Lawrence Community Healthcare Center Inc | Skilled Nursing Facility | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2005-10-18 |
1760033492 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2019-09-24 |
1366694317 | Lawrence Community Healthcare Center | Durable Medical Equipment & Medical Supplies | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2008-10-21 |
1801048855 | Lawrence Community Healthcare | Private Vehicle | 900 Corporation Line St, Bridgeport, IL 62417-2206 | 2008-10-21 |
Find all providers in zip 62417 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
1215540091 | Amber Dean Dnp Aprn Pmhnp-bc LLC | Nurse Practitioner | 1011 Main St, Bridgeport, NE 69336-4057 | 2020-08-31 |
1013484088 | Samantha Mraz | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-10-29 |
1447762901 | James Michael Haddon | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-10-24 |
1013436229 | Patricia Anne Simpson | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-09-19 |
1235656968 | Michael P Otoole | Nurse Practitioner | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2017-08-24 |
1316491996 | Ellen Palmer Hoban | Nurse Practitioner | 527 Medical Park Dr, Suite 105, Bridgeport, WV 26330-9008 | 2016-08-11 |
1528422185 | Taylor Gaglia | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-04-11 |
1801293824 | Tanya R Bassett | Nurse Practitioner | 46 Albion St, Southwest Community Health Center, Bridgeport, CT 06605-2602 | 2014-11-20 |
1225159171 | Lydia H. Greiner | Nurse Practitioner | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2007-04-02 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 62417 |
Please comment or provide details below to improve the information on AMELIA L PAULEY.
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.