AMANDA CONNELL (NPI# 1972144095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972144095 |
| Entity Type | Individual |
| Full Name | AMANDA CONNELL |
| Practice Address |
13710 La Mirada Blvd. Straight Talk La Mirada CA 90638 |
| Practice Telephone | 5629430195 |
| Mailing Telephone | 5629430195 |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2019-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355179 | Amanda Connell | Student in an Organized Health Care Education/Training Program | 15 Horseblock Pl, Farmingville, NY 11738-1204 | 2017-09-12 |
| 1235538414 | Amanda Connell | Counselor | 3900 Armour Ave, Fort Smith, AR 72904-4317 | 2014-08-14 |
| Street Address |
13710 LA MIRADA BLVD. STRAIGHT TALK |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| 1184049538 | Joy Chang | Pharmacist | 14885 Telegraph Road, La Mirada, CA 90638 | 2014-02-21 |
| Find all providers in zip 90638 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762689 | Angela Kay Kasprzak | Counselor | 16000 Grayville Dr Unit 8, La Mirada, CA 90638-2600 | 2020-08-27 |
| 1164691226 | Jeannie S Kim | Counselor | 13510 Meganwood Pl, La Mirada, CA 90638-6524 | 2008-02-22 |
| 1952501553 | Tiffany Hope Jackson | Counselor | 14811 Sabine Dr, La Mirada, CA 90638-2144 | 2007-07-20 |
| 1609952985 | Sharon J Kinard | Counselor | 15082 Rosecrans Ave, La Mirada, CA 90638-4741 | 2006-10-28 |
| 1982791471 | Mercedes Valdes | Counselor | 16565 Grayville Dr, La Mirada, CA 90638-2721 | 2006-10-06 |
| 1619589157 | Rebecca Edwards Rodriguez | Counselor | 15082 Rosecrans Ave, La Mirada, CA 90638-4741 | 2020-08-17 |
| 1154972420 | Isabel Luk | Counselor | 13710 La Mirada Blvd, La Mirada, CA 90638-3028 | 2019-09-26 |
| 1417507286 | Glenda Faye Bridges | Counselor | 13710 La Mirada Blvd, La Mirada, CA 90638-3028 | 2019-09-13 |
| 1508415779 | Monica Barrameda | Counselor | 13710 La Mirada Blvd, La Mirada, CA 90638-3028 | 2019-09-10 |
| 1609423268 | Myrtle Mc Intosh Kalugin | Counselor | 13710 La Mirada Blvd, La Mirada, CA 90638-3028 | 2019-08-19 |
| Find all providers in LA MIRADA | ||||
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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.