MS. AMANDA JO NELSON (NPI# 1932509072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932509072 |
| Entity Type | Individual |
| Full Name | MS. AMANDA JO NELSON |
| Credential | PA-C |
| Practice Address |
3516 Elm Ave Apt 408 Long Beach CA 90807-3916 |
| Practice Telephone | 3105146525 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 51860 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959142 | Amanda Li Nelson | Nurse Practitioner | 367 Bay Ridge Pkwy # 1, Brooklyn, NY 11209-3177 | 2020-07-17 |
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1770018541 | Amanda Nelson | Speech-Language Pathologist | 305 Westin Ln, Chico, CA 95973-5832 | 2017-04-28 |
| 1841734662 | Amanda Nelson | Registered Nurse | 12960 Rosemary St, Thornton, CO 80602-8410 | 2016-12-13 |
| 1952765968 | Amanda Nelson | Specialist | 5191 S Grant St, Littleton, CO 80121-1008 | 2016-04-06 |
| 1821453986 | Amanda Nelson | Marriage & Family Therapist | 2150 S Mcclelland St, Apt 217, Salt Lake City, UT 84106-2580 | 2015-12-16 |
| 1588036586 | Amanda Nelson | Nurse Practitioner | 6027 Walnut Grove Rd Ste 307, Memphis, TN 38120-2128 | 2015-10-29 |
| 1487925996 | Amanda Nelson | Dietitian, Registered | 2814 Miller Rd, Geneva, IL 60134-3996 | 2012-01-16 |
| 1073891172 | Amanda K Nelson | Plastic Surgery | 777 Sw Mill View Way Ste 100, Bend, OR 97702 | 2011-07-25 |
| 1982873170 | Amanda Renae Nelson | Registered Nurse | 5446 Fern Loop, West Richland, WA 99353-9806 | 2008-02-21 |
| Street Address |
3516 ELM AVE APT 408 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-3916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703958 | Melanie Layne Mccoy | Physician Assistant | 202 Joyce Ave, Long Beach, MS 39560-4332 | 2020-09-04 |
| 1285244525 | Amir Kamal Abdou | Physician Assistant | 133 The Promenade N Unit 112, Long Beach, CA 90802-4728 | 2020-08-02 |
| 1316564156 | Eva Dolores Larson | Physician Assistant | 2230 Knoxville Ave, Long Beach, CA 90815-2340 | 2020-06-27 |
| 1609402148 | Justine Liao Huang | Physician Assistant | 2725 Pacific Ave, Long Beach, CA 90806-2612 | 2020-03-17 |
| 1962036525 | Gabriel Ernest Smith | Physician Assistant | 4541 Falcon Ave, Long Beach, CA 90807-1814 | 2020-02-22 |
| 1124660295 | Ngawina Veronica Komen | Physician Assistant | 1139 E Ocean Blvd Unit 109, Long Beach, CA 90802-5659 | 2019-10-10 |
| 1326691718 | Chelsea Caughran | Physician Assistant | 472 W Hill St, Long Beach, CA 90806-4548 | 2019-07-24 |
| 1255809216 | Mikaela Terez Zummo | Physician Assistant | 563 E Harrison St, Long Beach, NY 11561-2444 | 2018-11-07 |
| 1407338064 | Monali Patel | Physician Assistant | 237 W Ridgewood, Long Beach, CA 90805-6964 | 2018-08-30 |
| 1437679354 | Alana Doonachar | Physician Assistant | 100 Belmont Avenue, Long Beach, NY 11561 | 2017-06-21 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
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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.