AMANDA ANDERSON (NPI# 1790291268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790291268 |
| Entity Type | Individual |
| Full Name | AMANDA ANDERSON |
| Credential | NP |
| Practice Address |
525 N State St Shelby MI 49455-8201 |
| Mailing Address |
Po Box 850 White Cloud MI 49349-0850 |
| Practice Telephone | 2319028550 |
| Mailing Telephone | 2313557530 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704334536 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
| 1124634860 | Amanda Anderson | Technician | 2503 Beverly St Apt 12b, Parkersburg, WV 26101-7153 | 2020-09-18 |
| 1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1750897716 | Amanda Mary Anderson | Counselor | 10201 W Lincoln Ave Ste 308, West Allis, WI 53227-2136 | 2017-12-28 |
| 1508394792 | Amanda Diane Anderson | Registered Nurse | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-06-01 |
| 1124573613 | Amanda Anderson | Occupational Therapy Assistant | 26 Rykill Way, Palm Coast, FL 32164-3403 | 2016-08-24 |
| 1306217096 | Amanda Anderson | Registered Nurse | 103 Plymouth Dr Apt 2c, Norwood, MA 02062-5487 | 2015-10-07 |
| 1104292267 | Amanda Lynn Anderson | Physician Assistant | 550 E 8th Ave, Escondido, CA 92025-5121 | 2015-08-12 |
| 1952797383 | Amanda Sue Anderson | Nurse Practitioner | 144 Oak Hill Dr, Maryville, IL 62062-6475 | 2015-04-13 |
| Street Address |
525 N STATE ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-8201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598951915 | Duane A Kelley | Nurse Practitioner | 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1407033491 | Jennifer Lynn Flanery | Physician Assistant | 71 Bevier St, Shelby, MI 49455 | 2008-01-22 |
| 1053302810 | Loren S Reed | Surgery | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518523695 | Tabitha Dawn Hofer | Nurse Practitioner | 24 Morris Rd Ste 2, Shelby, OH 44875-1170 | 2019-05-14 |
| 1316416555 | Chakun Tiffany Mcdaniel | Nurse Practitioner | 1215 Charles Rd, Shelby, NC 28152-7029 | 2018-11-16 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1114184207 | Heike Hermine Arrowood | Nurse Practitioner | 307 Christopher Road, Shelby, NC 28152 | 2008-05-18 |
| 1598951915 | Duane A Kelley | Nurse Practitioner | 525 N State St, Shelby Adolescent Health Center, Shelby, MI 49455-8201 | 2007-09-19 |
| 1972717049 | Cynthia H Ebert | Nurse Practitioner | 222 North Lafayette Street, Suite 23, Shelby, NC 28150 | 2007-05-09 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1700483013 | Hayley Bowman | Nurse Practitioner | 200 S Post Rd, Shelby, NC 28152-6269 | 2020-10-08 |
| 1649898966 | Kimberly Jane Sinclair | Nurse Practitioner | 305 W College Ave, Shelby, NC 28152-8111 | 2020-07-13 |
| 1699309211 | Alexis C Hamilton | Nurse Practitioner | 808 Schenck St, Shelby, NC 28150-3934 | 2020-02-24 |
| Find all providers in SHELBY | ||||
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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.