Amanda Nicole Dame (NPI# 1215428578, PAC ID# 1153674890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1215428578 |
| PAC ID by PECOS | 1153674890 |
| Professional Enrollment ID | I20181026002121 |
| Full Name | Amanda Nicole Dame |
| Organization Legal Name | ULTRA HEALTH LLC |
| Address |
950 Highpoint Dr Hopkinsville KY 42240-2570 |
| Phone Number | 7313941145 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6800186602 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180056 | METHODIST HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Highpoint Dr, Hopkinsville, KY 42240-2570 | 7313941145 | ULTRA HEALTH LLC |
| 1350 N Main St, Madisonville, KY 42431-1282 | 2702452554 | BROCK MEDICAL, LLC |
| Organization Legal Name | ULTRA HEALTH LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Pool | Nurse Practitioner | Ultra Health LLC | 402 W Farthing St, Mayfield, KY 42066-2900 |
| Kathy Gallaway | Nurse Practitioner | Ultra Health LLC | 107 Boyles Dr, Russellville, KY 42276-8838 |
| Deena D Carrico | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Loren S Carroll | Family Medicine | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lora A Russell | Nurse Practitioner | Ultra Health LLC | 1004 Holiday Ln, Fulton, KY 42041-8458 |
| Molly N Ledbetter | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Jessica Desir | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Melissa L Bolton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Sheila Carlton | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Lauren Amber Wilson | Nurse Practitioner | Ultra Health LLC | 36 Pemberton Cv, Jackson, TN 38305-5514 |
| Street Address |
950 HIGHPOINT DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip | 42240-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Todd | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Lisa Cheek | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Sara Forman | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Edwina Leigh Withrow | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Amber Winters | Nurse Practitioner | Ultra Health LLC | 950 Highpoint Dr, Hopkinsville, KY 42240-2570 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Autumn Lee Triplett | Nurse Practitioner | 111 Derrick Pl, Hopkinsville, KY 42240-1325 | |
| Theresa S Clark | Registered Dietitian Or Nutrition Professional | 530 Noel Ave, Hopkinsville, KY 42240-1386 | |
| Travis N Calhoun | Internal Medicine | 538 B Noel Ave, Hopkinsville, KY 42240-1386 | |
| Mark J Edmunds | Podiatry | 101 N Dr, Hopkinsville, KY 42240-1603 | |
| Charles W Bosch | Otolaryngology | 1830 High St, Suite B, Hopkinsville, KY 42240-1746 | |
| Vinna D Denison | Family Medicine | 320 N Dr, Hopkinsville, KY 42240-1806 | |
| Christina Marie Polete | Nurse Practitioner | Hopkinsville Family Care Psc | 315 A W 16th St, Hopkinsville, KY 42240-1903 |
| Michelle Lynn Ross | Physician Assistant | Fairview Physicians Network LLC | 219 W 17th St, Hopkinsville, KY 42240-1911 |
| Cyrus C Chapman Iii | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| James M Clark | Diagnostic Radiology | Pennyrile Radiology, Psc | 215 W 17th St, Hopkinsville, KY 42240-1911 |
| Find all physicians in zip 42240 | |||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HOPKINSVILLE + 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.