MRS. AMANDA RAE WHOLLY (NPI# 1780052159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780052159 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RAE WHOLLY |
| Credential | ANP |
| Practice Address |
4001 Lake Otis Pkwy Ste 101 Anchorage AK 99508-5200 |
| Practice Telephone | 8007690045 |
| Mailing Telephone | 8007690045 |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
103809 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4001 LAKE OTIS PKWY STE 101 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851774962 | Shannon Rose Sickle | Registered Nurse | 4001 Lake Otis Pkwy Ste 101, Anchorage, AK 99508 | 2015-07-07 |
| 1104433044 | Amber Michael | Obstetrics & Gynecology | 4001 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5200 | 2020-09-24 |
| 1972966968 | Tapia Stover | Advanced Practice Midwife | 4001 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5200 | 2016-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1760678726 | Nancy Colleen Spooner | Nurse Practitioner | 4001 Lake Otis Parkway, #101, Anchorage, AK 99508 | 2007-09-23 |
| 1518091511 | Elizabeth Ann Butera | Nurse Practitioner | 825 L St Rm 102, Anchorage, AK 99501-3337 | 2007-03-14 |
| 1326186040 | Karen E Murray | Nurse Practitioner | 825 L St Ste 102, Anchorage, AK 99501-3337 | 2007-02-02 |
| 1346245099 | Barbara Elaine Norton | Nurse Practitioner | 2400 E 42nd Ave, Ste 101, Anchorage, AK 99508-5054 | 2005-06-18 |
| 1669090361 | Women's Wellness At The Nest | Nurse Practitioner | 2400 E 42nd Ave, Anchorage, AK 99508-5206 | 2020-07-08 |
| 1841717980 | Angelia Clark Trujillo | Nurse Practitioner | 3976 University Lake Dr, Anchorage, AK 99508-4644 | 2017-08-29 |
| 1184176794 | Jolene Campbell | Nurse Practitioner | 4120 Laurel St Ste 203, Anchorage, AK 99508 | 2016-10-30 |
| 1073736120 | Francis A. Bell | Nurse Practitioner | 825 L St, Suite 102, Anchorage, AK 99501-3337 | 2007-04-10 |
| 1275639353 | Carol Hebert | Nurse Practitioner | 4001 Dale St, Suite #105, Anchorage, AK 99508-5428 | 2006-09-15 |
| Find all providers in ANCHORAGE | ||||
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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.