AMANDA HARRIS (NPI# 1770934713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770934713 |
| Entity Type | Individual |
| Full Name | AMANDA HARRIS |
| Practice Address |
1420 Fern Creek Dr Statesville NC 28625-9376 |
| Mailing Address |
127 Falling Creek Dr Statesville NC 28625-1665 |
| Practice Telephone | 7043803722 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5008670 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270334 | Amanda Dawn Harris | Technician | 1397 Obrion Rd, Duck, WV 25063-8457 | 2020-09-17 |
| 1518572536 | Amanda Colleen Harris | Nurse Practitioner | 4817 W Falcon Ct, Monee, IL 60449-8691 | 2020-09-15 |
| 1083224893 | Amanda Harris | Technician | 2811 Back Rd, Mill Creek, WV 26280-9750 | 2020-08-06 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1811335110 | Amanda Joy Harris | Rehabilitation Practitioner | 1820 Janet Ln, Pahrump, NV 89060-3272 | 2013-06-07 |
| 1417292046 | Amanda Kay Harris | Specialist | 160 E Poplar St Ste A, Fayetteville, AR 72703-2574 | 2012-12-08 |
| 1861759623 | Amanda Harris | Family Medicine | 185 Ocean Ave # 1a, Brooklyn, NY 11225-4763 | 2012-04-18 |
| 1487929386 | Amanda Jean Harris | Day Training, Developmentally Disabled Services | 44438 Se Edgewick Rd, North Bend, WA 98045-8799 | 2012-03-12 |
| 1841520251 | Amanda Harris | Licensed Practical Nurse | 7311 State Highway 5, Saint Johnsville, NY 13452-4203 | 2010-01-06 |
| Street Address |
1420 FERN CREEK DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-9376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033104112 | Marcia Christina Ensminger | Advanced Practice Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2005-09-15 |
| 1275146409 | Latanya Nicole Parchment | Advanced Practice Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2020-08-27 |
| 1841837432 | Haley Swift | Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2019-12-03 |
| 1760041529 | Erica Chiodo Welch | Advanced Practice Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2019-06-06 |
| 1184115834 | Jennifer Michelle Johnson | Nurse Practitioner | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2018-05-29 |
| 1326569161 | Tiffany Cherie Thompson | Advanced Practice Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2017-07-01 |
| 1508269150 | Tracie Jean Salyer | Advanced Practice Midwife | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2014-09-26 |
| 1710301437 | Compassionate Women's Healthcare | Obstetrics & Gynecology | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2014-02-17 |
| 1821366394 | Natural Beginnings Birth Center | Clinic/Center | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-12-12 |
| 1881979011 | Natural Beginnings Birth and Wellness Center | Clinic/Center | 1420 Fern Creek Dr, Statesville, NC 28625-9376 | 2011-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887706 | Tasha Marie Vangile | Nurse Practitioner | 120 Westview Ln, Statesville, NC 28625-8221 | 2020-07-02 |
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1144626003 | Valorie Stewart Byrd | Nurse Practitioner | 150 Magnolia Hill Ln, Statesville, NC 28677-9735 | 2014-11-05 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1427362367 | Melissa Stevens Jolly | Nurse Practitioner | 513 Brookdale Dr, Statesville, NC 28677-4107 | 2010-08-03 |
| 1558695213 | Jessica Daniels Wood | Nurse Practitioner | 310 Davie Avenue, Statesville, NC 28677 | 2009-09-29 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1508063355 | Ann Green Moose | Nurse Practitioner | 1893 E Broad St # B-4, Statesville, NC 28625-4307 | 2007-06-27 |
| 1073739843 | Judy Lackey Keighron | Nurse Practitioner | 308c Mocksville Hwy, Statesville, NC 28625-8267 | 2007-04-18 |
| 1578788741 | Beverly B Sproul | Nurse Practitioner | 470 Crawford Rd, Statesville, NC 28625-8545 | 2007-04-14 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
Please comment or provide details below to improve the information on AMANDA HARRIS.
| 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.