AMANDA SUZANNE CHERRYHOLMES


Address: 1206 Se 48th Place, Montgomery, Lincoln City, OR 97367
Phone: 5412640457

AMANDA SUZANNE CHERRYHOLMES (NPI# 1881256121) 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) 1881256121
Entity Type Individual
Full Name AMANDA SUZANNE CHERRYHOLMES
Practice Address 1206 Se 48th Place
Montgomery
Lincoln City
OR 97367
Practice Telephone 5412640457
Mailing Telephone 5412640457
Enumeration Date 2019-07-08
Last Update Date 2019-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist OR Other Service Providers

Office Location

Street Address 1206 SE 48TH PLACE
MONTGOMERY
City LINCOLN CITY
State OR
Zip Code 97367

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982198719 Lakeside Family Dentistry Dentist 3173 Ne West Devils Lake Rd., Lincoln City, OR 97367 2018-06-15
1891282117 Mark J Lee Marriage & Family Therapist 412 Southwest Highway 101, Lincoln City, OR 97367 2018-04-23
1508130196 Michelle Marie Becker Pharmacist 1030 Se Oar Ave Bi-mart, Lincoln City, OR 97367 2012-02-29
1457651465 Laurene Norelle Alcocer Pharmacist 4048 Ne Hwy 101, Lincoln City, OR 97367 2010-10-25
1518106228 Estate of Kevin L. Chancellor Dentist 3173 Ne West Devils Lake Rd, Lincoln City, OR 97367 2009-02-19
1346403656 Lincoln City Pharmacy & Gifts Pharmacy 1800 Se Hwy 101, Suite C, Lincoln City, OR 97367 2008-07-07
1841487139 Assisted Living Concepts Inc Assisted Living Facility 1400 Se 19th, Lincoln City, OR 97367 2007-10-01
1376741074 Frank Wesley Nettleship Dentist 9101 Keys Place, Lincoln City, OR 97367 2007-07-05
1306043989 Julie Anne Bass Case Manager/Care Coordinator 4402 Devils Lake Blvd #2, Lincoln City, OR 97367 2007-06-28
1174745202 Dorchester House Retirement Residence LLC Assisted Living Facility 2701 Hwy 101, Lincoln City, OR 97367 2007-05-02
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114566759 Mari Ruth Angeline Schuman Peer Specialist 4488 Ne Devils Lake Blvd, Lincoln City, OR 97367-5065 2019-12-30
1912546599 Sharon Lynn Padilla Peer Specialist 4488 Ne Devils Lake Blvd, Lincoln City, OR 97367-5065 2019-12-31
1952940595 Austyn Larson Peer Specialist 4488 Ne Devils Lake Blvd, Lincoln City, OR 97367-5065 2019-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487255576 Thomas Roy Hooks Peer Specialist 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 2020-11-04
1578162145 Kenneth Branson Peer Specialist 389 Sw Scalehouse Ct Ste 130, Bend, OR 97702-3241 2020-10-23
1962000554 Dawn Marks Peer Specialist 21440 Se Stark St, Gresham, OR 97030-2024 2020-10-15
1679188080 Michelle Marie Bunkers Peer Specialist 20517 Jacklight Ln, Bend, OR 97702-2971 2020-09-11
1538773155 Mamie Nzigire Zagabe Peer Specialist 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 2020-09-01
1528677820 Charice Monette Peer Specialist 4151 Kacey Cir Ne, Salem, OR 97305-4504 2020-07-23
1841810322 Ariana Lee May Peer Specialist 1601 Olive St Apt 1008, Eugene, OR 97401-3985 2020-04-24
1982237236 Jessica M Montoya Peer Specialist 235 Se Knowledge St, Prineville, OR 97754-2362 2020-02-14
1134752579 Lisa Kennedy Peer Specialist 132 Ne B St # 24, Grants Pass, OR 97526-2114 2020-02-13
1730711953 Michael Anthony Duran Peer Specialist 1515 Hill St Se, Albany, OR 97322-6715 2020-02-05
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Competitor

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City LINCOLN CITY
Zip Code 97367

Improve Information

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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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