AMANDA HANSEN (NPI# 1841694486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841694486 |
| Entity Type | Individual |
| Full Name | AMANDA HANSEN |
| Credential | F.N.P.-C |
| Practice Address |
58 Carroll St Room 2037 Lebanon VA 24266 |
| Practice Telephone | 2768838062 |
| Practice Fax Number | 2768838064 |
| Mailing Telephone | 2768838062 |
| Mailing Fax Number | 2768838064 |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024171702 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q014850 | 05 | |
| VA | 1841694486 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073132718 | Amanda Hansen | Student in an Organized Health Care Education/Training Program | 1124 Reutlinger Ave Apt 203, Louisville, KY 40204-1979 | 2020-04-13 |
| 1790275733 | Amanda Hansen | Behavior Technician | 4441 Six Forks Rd Ste 106, Raleigh, NC 27609-5729 | 2018-05-15 |
| 1770088874 | Amanda Michelle Hansen | Behavior Technician | 7014 Chiswick Dr, Corpus Christi, TX 78413-5325 | 2018-03-29 |
| 1417331778 | Amanda Hansen | Health Educator | 1923 N Main St Apt 6, Sheridan, WY 82801-2572 | 2015-07-16 |
| 1497367718 | Amanda Hansen | Pharmacist | 115 Garfield St N, Cambridge, MN 55008-1765 | 2020-08-18 |
| 1407374887 | Amanda Hansen | Behavior Technician | 5762 Bolsa Ave Ste 101, Huntington Beach, CA 92649-1172 | 2017-09-06 |
| 1528503695 | Amanda Jane Hansen | Registered Nurse | 1350 Us Highway 61, Festus, MO 63028-4124 | 2016-12-28 |
| 1366893000 | Amanda Hansen | Nurse Practitioner | 1000 Johnson Fy Rd Ne, Atlanta, GA 30342-1606 | 2016-06-23 |
| 1992193924 | Amanda Hansen | Specialist/Technologist | 2275 Deming Way, Middleton, WI 53562-5527 | 2014-12-29 |
| 1023367646 | Amanda Elaine Hansen | Specialist/Technologist | 95 Mahalani St, Suite 19 A, Wailuku, HI 96793-2521 | 2012-08-29 |
| Street Address |
58 CARROLL ST ROOM 2037 |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401448 | John Martin Kerr | Surgery | 58 Carroll St, Suite 2d, Lebanon, VA 24266 | 2005-07-18 |
| 1306376108 | Sasha Musick | Nurse Practitioner | 58 Carroll St, Room 2037, Lebanon, VA 24266 | 2017-06-14 |
| 1073990248 | Blue Ridge Medical Managment Corporation | Internal Medicine | 58 Carroll St, Room 2037, Lebanon, VA 24266 | 2015-04-27 |
| 1053719450 | Tara Dalton | Pharmacist | 58 Carroll St, Lebanon, VA 24266 | 2014-12-17 |
| 1104158054 | Mountain States Health Alliance | Radiology | 58 Carroll St, Lebanon, VA 24266-3600 | 2010-02-03 |
| 1891973939 | Mountain States Health Alliance | General Acute Care Hospital | 58 Carroll St, Lebanon, VA 24266-4515 | 2008-01-31 |
| 1568649697 | Mountain States Health Alliance | Psychiatric Unit | 58 Carroll St, Lebanon, VA 24266-4510 | 2008-01-31 |
| 1861670903 | Mountain States Health Alliance | Medicare Defined Swing Bed Unit | 58 Carroll St, Lebanon, VA 24266-4510 | 2008-01-31 |
| 1528249133 | Jenny M Pruitt | Physician Assistant | 58 Carroll St, Room 2037, Lebanon, VA 24266 | 2007-11-26 |
| 1699724013 | David M Mitchell | Internal Medicine | 58 Carroll St, Room 2037, Lebanon, VA 24266 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912170 | Kaley Elizabeth Barrett | Nurse Practitioner | 418 Edgewood Dr, Lebanon, PA 17042-9109 | 2020-11-04 |
| 1932716420 | Jessica Erb | Nurse Practitioner | 804 Holly Ln, Lebanon, PA 17042-9028 | 2020-09-28 |
| 1922619527 | Tammy Lynn Whitt | Nurse Practitioner | 961 Poor Farm Rd, Lebanon, VA 24266-7097 | 2020-08-17 |
| 1538777529 | Shenia Diane Johnson | Nurse Practitioner | 71 S. Flannagan Ave., Lebanon, VA 24266-2426 | 2020-07-16 |
| 1275158164 | Kelly Mcdaniel | Nurse Practitioner | 288 Rolling Meadows Rd, Lebanon, VA 24266-5870 | 2020-06-16 |
| 1609498955 | Kelsey Jones | Nurse Practitioner | 1412 Nathaniel Dr, Lebanon, MO 65536-8906 | 2020-05-09 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1821642430 | Jill Montgomery Major | Nurse Practitioner | 135 Knights Brg, Lebanon, TN 37090-1410 | 2019-07-31 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on AMANDA HANSEN.
| 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.