AMANDA LINS CHISSELL


Address: 13801 Bruce B Downs Blvd Ste 231, Tampa, FL 33613-3946
Phone: 8133452380

AMANDA LINS CHISSELL (NPI# 1871033340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871033340
Entity Type Individual
Full Name AMANDA LINS CHISSELL
Other Name AMANDA E LINS
Credential PA-C
Practice Address 13801 Bruce B Downs Blvd Ste 231
Tampa
FL 33613-3946
Practice Telephone 8133452380
Practice Fax Number 8138776708
Mailing Telephone 8133452380
Mailing Fax Number 8138776708
Enumeration Date 2017-03-03
Last Update Date 2020-07-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA9110213 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13801 BRUCE B DOWNS BLVD STE 231
City TAMPA
State FL
Zip Code 33613-3946

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336762046 Samantha Martin Physician Assistant 12950 Race Track Rd Ste 106, Tampa, FL 33626-1304 2020-05-28
1124648159 Christian Otero Physician Assistant 311 W Palm Ave, Tampa, FL 33602-2029 2020-04-20
1487219036 Vanessa Natasha White Physician Assistant 10205 W Hillsborough Ave Ste B, Tampa, FL 33615-3671 2019-05-08
1518520873 Zachary Luke Ulshafer Physician Assistant 12901 Bruce B Downs Blvd # 05, Tampa, FL 33612-4742 2019-04-22
1548756893 Christopher Jacob Bordelon Physician Assistant 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL 33607-6302 2018-07-10
1669839767 Barbara N Vargas Physician Assistant 12500 N Dale Mabry Hwy Ste A, Tampa, FL 33618-2809 2016-01-20
1215305776 Amber Lubas Physician Assistant 401 N Rome Ave, Apt: 4314, Tampa, FL 33606-0009 2015-09-14
1972988467 Karla Michelle Mincone Physician Assistant 3040 W Cypress St # 103, Tampa, FL 33609-1615 2015-07-25
1326441767 Brigett Brandjes Physician Assistant 2902 Usf Magnolia Drive, Tampa, FL 33612 2014-09-30
1609208313 Kristine Nicole Gomez Physician Assistant 2919 W Swann Ave Ste 108, Tampa, FL 33609-4038 2013-08-05
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Competitor

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City TAMPA
Zip Code 33613

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Dataset Information

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.

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