MRS. AMANDA GAGE WOODS (NPI# 1891069654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891069654 |
Entity Type | Individual |
Full Name | MRS. AMANDA GAGE WOODS |
Credential | NNP-BC |
Practice Address |
22 Bramhall St Portland ME 04102-3134 |
Mailing Address |
22 Bramhall St Portland ME 04102-3175 |
Practice Telephone | 2076620324 |
Mailing Telephone | 2076620324 |
Enumeration Date | 2012-02-26 |
Last Update Date | 2020-04-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
CNP161045 | ME | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 1891069654 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508463316 | Amanda Lynne Woods | Massage Therapist | 3916 Nw 36th St, Oklahoma City, OK 73112-1600 | 2020-10-05 |
1467070219 | Amanda Ann Woods | Physician Assistant | 68 Mount Lebanon St, Pepperell, MA 01463-1215 | 2020-07-08 |
1174909857 | Amanda Marie Woods | Occupational Therapist | 4181 Falcon Ln, Camino, CA 95709-9731 | 2015-08-05 |
1386027993 | Amanda Woods | Occupational Therapy Assistant | 1515 E Katella Ave, #2135, Anaheim, CA 92805-6680 | 2015-06-30 |
1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
1356575781 | Amanda Valerie Woods I | Massage Therapist | 919 Chestwood Ave, Tallahassee, FL 32303-4634 | 2009-05-13 |
1699312090 | Amanda Woods | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2019-12-04 |
1912474453 | Amanda Woods | Registered Nurse | 1717 W Cowles St, Fairbanks, AK 99701-5926 | 2018-11-01 |
1376909523 | Amanda P Woods | Physical Therapist | 1644 E 53rd St, Chicago, IL 60615-4210 | 2016-01-04 |
1518341064 | Amanda Woods | Pharmacist | 2900 North Loop W, Suite 1300, Houston, TX 77092-8841 | 2015-07-15 |
Street Address |
22 BRAMHALL ST |
City | PORTLAND |
State | ME |
Zip Code | 04102-3134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386641355 | Suzanne Maynard | Specialist | 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 | 2005-07-05 |
1902406135 | Barbara Lewis-armstrong | Social Worker | 22 Bramhall St, Portland, ME 04102-3175 | 2020-10-27 |
1285231217 | Malia Haddock | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-10-02 |
1972118222 | Morgan O'brien | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-09-14 |
1295349900 | Natalie Margaret Petrone | Occupational Therapist | 22 Bramhall St, Portland, ME 04102-3175 | 2020-09-01 |
1467065565 | Mandi Ann Horwath | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-08-28 |
1922610492 | Diana Christine Hubbell | Registered Nurse | 22 Bramhall St, Portland, ME 04102-3134 | 2020-08-17 |
1790393023 | Rami Waked | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2020-07-22 |
1871117143 | Lesley Raley | Pharmacist | 22 Bramhall St, Portland, ME 04102-3134 | 2020-06-03 |
1023638707 | Rebecca Naomi Glass | Physical Therapist | 22 Bramhall St, Portland, ME 04102-3134 | 2020-04-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
Find all providers in zip 04102 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639541808 | Monica Elizabeth Neville | Nurse Practitioner | 183 Brackett St # 409, Portland, ME 04102-3857 | 2015-10-27 |
1649689944 | Janet Carson Clark | Nurse Practitioner | 9025 Sw Barnes Road, Portland, OR 97225 | 2014-08-12 |
1073867057 | Marion Josephine Acheson-silver | Nurse Practitioner | 69 Pitt St Apt 2, Portland, ME 04103-4825 | 2012-10-30 |
1972118222 | Morgan O'brien | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-09-14 |
1225519671 | Chelsea M Cieslak | Nurse Practitioner | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2018-08-23 |
1326564659 | Kaitlin Marie Egan | Nurse Practitioner | 9205 Sw Barnes Rd, Portland, OR 97225-6603 | 2017-08-18 |
1770016644 | Anita Khut | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-04-07 |
1770948895 | Rachel Montanari | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2015-12-16 |
1376949420 | Andrea L. A. Bertram | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2014-11-17 |
1750722443 | Karen Vice Duncan | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-07-10 |
Find all providers in PORTLAND |
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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.