AMANDA GOODLIFFE (NPI# 1922652171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922652171 |
| Entity Type | Individual |
| Full Name | AMANDA GOODLIFFE |
| Credential | FNP |
| Practice Address |
3993 E 109 N Idaho Falls ID 83401-5436 |
| Practice Telephone | 2089709798 |
| Mailing Telephone | 2089709798 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
62213 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3993 E 109 N |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83401-5436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454796 | Natalie M Theriault | Acupuncturist | 864 S Holmes, Idaho Falls, ID 83401 | 2020-10-09 |
| 1366099293 | Idaho Recovery Center, LLC. | Counselor | 771 South Woodruff Avenue, Idaho Falls, ID 83401 | 2019-08-26 |
| 1851859110 | Rebecca Chidester | Counselor | 771 Parkwood St., Idaho Falls, ID 83401 | 2019-03-06 |
| 1467924985 | Benchmark Home Health | Registered Nurse | 2098 Gladys Dr., Idaho Falls, ID 83401 | 2018-12-21 |
| 1134625338 | Idaho Falls Hand Therapy Limited Partnership | Clinic/Center | 564 S Woodruff Avenue, Idaho Falls, ID 83401 | 2018-04-05 |
| 1992227367 | Brenda Emery | Rehabilitation Practitioner | 540 3rd Street, Idaho Falls, ID 83401 | 2017-07-07 |
| 1689068454 | Addiction Treatment Centers of Idaho | Community/Behavioral Health | 211 S. Woodruff Avenue, Idaho Falls, ID 83401 | 2015-03-19 |
| 1386986412 | Jennifer Lee Henderson | Psychologist | 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 | 2013-03-27 |
| 1487994430 | Sterling Physician Group Pllc | Clinic/Center | 740 S. Woodruff Ave, Idaho Falls, ID 83401 | 2013-02-27 |
| 1952638025 | Allstar Counseling Inc. | Case Management | 550 2nd Street, Suite 269, Idaho Falls, ID 83401 | 2009-11-11 |
| Find all providers in zip 83401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802790 | Magno C. Santos Msn, Fnp-c Pllc | Nurse Practitioner | 2184 Channing Way # 283, Idaho Falls, ID 83404-8034 | 2020-08-21 |
| 1023626876 | Sandy Palma | Nurse Practitioner | 2155 Rendezvous Rd, Idaho Falls, ID 83402-3885 | 2020-07-17 |
| 1508483173 | Angela Kirsten Johnston | Nurse Practitioner | 2243 E 17th St, Idaho Falls, ID 83404-6519 | 2020-06-30 |
| 1730744947 | Samantha De Bruyn Kops | Nurse Practitioner | 2065 E 17th St Ste C, Idaho Falls, ID 83404-8042 | 2019-05-02 |
| 1952866063 | Tiffany Ann Williams | Nurse Practitioner | 1223 Cabin Cv, Idaho Falls, ID 83404-8298 | 2019-02-02 |
| 1881172963 | Kboll Healthcare | Nurse Practitioner | 2305 Coronado St, Idaho Falls, ID 83404-7407 | 2018-08-01 |
| 1740771898 | Elizabeth Ann Sharp-marsden | Nurse Practitioner | 2275 Channing Way, Idaho Falls, ID 83404-8012 | 2018-05-24 |
| 1346737608 | Melissa Plaisted | Nurse Practitioner | 2877 N Woodbine Rd, Idaho Falls, ID 83401-1254 | 2018-04-21 |
| 1083067268 | Eulalia Adriana Aljayoushi | Nurse Practitioner | 1995 E 17th St Ste 1, Idaho Falls, ID 83404-6493 | 2016-07-22 |
| 1528372414 | Ashley Kyle Aiton | Nurse Practitioner | 3480 Washington Parkway, Idaho Falls, ID 83404 | 2010-08-03 |
| Find all providers in IDAHO FALLS | ||||
| City | IDAHO FALLS |
| Zip Code | 83401 |
Please comment or provide details below to improve the information on AMANDA GOODLIFFE.
| 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.