Amanda Elizabeth Loughlin (NPI# 1104321405, PAC ID# 0749545879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104321405 |
| PAC ID by PECOS | 0749545879 |
| Professional Enrollment ID | I20180521000872 |
| Full Name | Amanda Elizabeth Loughlin |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Address |
71 S Flannagan Ave Lebanon VA 24266 |
| Phone Number | 2768838042 |
| Gender | F |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9739099441 |
| Number of Group Practice Members | 316 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 71 S Flannagan Ave, Lebanon, VA 24266 | 2768838042 | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Organization Legal Name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deneene R Booth | Anesthesiology | Blue Ridge Medical Management Corporation | 601 Campus Dr, Abingdon, VA 24210-9700 |
| Shasta Nicole Bowens | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2000 Brookside Dr, Suite 3, Kingsport, TN 37660-4627 |
| Luc Jasmin | Neurosurgery | Blue Ridge Medical Management Corporation | 701 Med Tech Pkwy, Suite 300, Johnson City, TN 37604-2365 |
| Sandra Michelle Sparks | Nurse Practitioner | Blue Ridge Medical Management Corporation | 310 N State of Franklin Rd, Suite 400, Johnson City, TN 37604-6529 |
| Rebecca Sacora | Family Medicine | Blue Ridge Medical Management Corporation | 2030 Temple Hill Rd, Suite B, Erwin, TN 37650-8721 |
| Leslie Renee Barlow | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1201 Snider St, Marion, VA 24354-4221 |
| Sheila Ann Matherly | Nurse Practitioner | Blue Ridge Medical Management Corporation | 404 Bemberg Rd, Elizabethton, TN 37643-2938 |
| Melanie Hagerman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 2 Professional Park Dr, Suite 11, Johnson City, TN 37604-6584 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Street Address |
71 S FLANNAGAN AVE |
| City | LEBANON |
| State | VA |
| Zip | 24266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey W Mccoy | Physician Assistant | Mountain States Health Alliance | 71 S Flannagan Ave, Suite A, Lebanon, VA 24266 |
| Mary P Ernst | Nurse Practitioner | Mountain States Health Alliance | 71 S Flannagan Ave, Suite A, Lebanon, VA 24266 |
| Maria T Liquete | Psychiatry | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266-0200 |
| Cheryl Ann Hess | Nurse Practitioner | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266-0200 |
| Mary C Olmsted | Psychiatry | Blue Ridge Medical Management Corporation | 71 S Flannagan Ave, Lebanon, VA 24266-0200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Daugherty | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Samuel H Melton | Emergency Medicine | 2003 E Main St, P.o. Box 2964, Lebanon, VA 24266 | |
| Sandra M Altenbach | Nurse Practitioner | Samina Yousuf Md PC | 591 Us Hwy 19, Lebanon, VA 24266 |
| John M Kerr Jr. | General Surgery | Blue Ridge Medical Management Corporation | 58 Carroll St, 2d, Lebanon, VA 24266 |
| Karilyn E Shipman | Clinical Social Worker | 320 Sword St, Lebanon, VA 24266 | |
| Emily Nichole Fields | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Alexander B Baer | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Sasha Musick | Nurse Practitioner | Blue Ridge Medical Management Corporation | 58 Carrol St, Suite 2037, Lebanon, VA 24266 |
| Norman L Rexrode Jr. | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Zachary Neil Blackmon | Emergency Medicine | Western Virginia Regional Emergency Physicians LLC | 58 Carrol St, Lebanon, VA 24266 |
| Find all physicians in zip 24266 | |||
| City | LEBANON |
| Zip Code | 24266 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LEBANON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.