AMY BEDAN POFF (NPI# 1932394087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932394087 |
| Entity Type | Individual |
| Full Name | AMY BEDAN POFF |
| Credential | MSN NPC |
| Practice Address |
2051 Clevidence Blvd Ste B Clarksville IN 47129 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 8122809145 |
| Practice Fax Number | 5022806627 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2018-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 71002491A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71002491A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
28124768A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM - NCMA | 000001017617 | 01 |
| IN | 200905020 | 05 | |
| KY | SIHO - NCMA | 100930 | 01 |
| Street Address |
2051 CLEVIDENCE BLVD STE B |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497126668 | Darra Dukes | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129-2278 | 2015-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| 1881816320 | Dental Professionals of Indiana, P.C. | Dentist | 1516 Lynch Lane, Ste A, Clarksville, IN 47129 | 2007-05-03 |
| Find all providers in zip 47129 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196004 | Brie Lajeret | Nurse Practitioner | 800 Weatherly Dr Ste 201b, Clarksville, TN 37043-8958 | 2019-10-27 |
| 1588212716 | Sabina G Sambat | Nurse Practitioner | 6100 Daylong Ln Ste 105, Clarksville, MD 21029-1631 | 2019-08-30 |
| 1265991871 | Jane Holt | Nurse Practitioner | 647 Dunlop Ln Ste 101, Clarksville, TN 37040-5165 | 2019-03-14 |
| 1629335120 | Leanne S Balmer | Nurse Practitioner | 775 Weatherly Dr, Ste F, Clarksville, TN 37043-8942 | 2012-04-20 |
| 1588980908 | Tommy Lewis Thompson Jr. | Nurse Practitioner | 1861 River Rd, Clarksville, TN 37040-7437 | 2010-04-09 |
| 1831360411 | Alexandria Nicole Duncan | Nurse Practitioner | 230 Dover Road, Clarksville, TN 37042 | 2008-03-21 |
| 1639340680 | Cumberland View Clinic LLC | Nurse Practitioner | 1749 Highway 48, Clarksville, TN 37040-7427 | 2008-03-18 |
| 1689643991 | Denise Polen Brooks | Nurse Practitioner | 420 W Jefferson Ave, Clarksville, IN 47129-1820 | 2006-03-17 |
| 1114921681 | Jane Faith Kapustin | Nurse Practitioner | 5005 Signal Bell Ct, Ste 102, Clarksville, MD 21029-2607 | 2005-06-11 |
| 1346714714 | Jp Prime Health Pllc | Nurse Practitioner | 111 Ussery Rd, Clarksville, TN 37043-4530 | 2019-01-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on AMY BEDAN POFF.
| 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.