AMANDA HOLBERT (NPI# 1003366386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003366386 |
| Entity Type | Individual |
| Full Name | AMANDA HOLBERT |
| Practice Address |
87 Interstate 10 N Suite 225 Beaumont TX 77707-2544 |
| Practice Telephone | 4098350228 |
| Practice Fax Number | 4098350151 |
| Mailing Telephone | 4098350228 |
| Mailing Fax Number | 4098350151 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
38341 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
87 INTERSTATE 10 N SUITE 225 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77707-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740694124 | Corrie Brackin | Occupational Therapist | 87 Interstate 10 N, Suite 225, Beaumont, TX 77707-2544 | 2014-06-13 |
| 1497262794 | Heather Ann Knighton | Speech-Language Pathologist | 87 Interstate 10 N, Beaumont, TX 77707-2544 | 2018-01-08 |
| 1790299212 | Myria Lee Stepp | Occupational Therapy Assistant | 87 Interstate 10 N, Beaumont, TX 77707-2544 | 2017-11-20 |
| 1922542562 | Courtney Jones | Specialist/Technologist | 87 Interstate 10 N, Suite 225, Beaumont, TX 77707-2544 | 2016-12-16 |
| 1386186369 | Golden Triangle Interventional Pain Associates LLC | Anesthesiology | 87 Interstate 10 N, Suite 221, Beaumont, TX 77707-2544 | 2016-11-08 |
| 1578915773 | Heidi Odom | Specialist/Technologist | 87 Interstate 10 N, Beaumont, TX 77707-2544 | 2016-07-12 |
| 1194196931 | Ellen Baker | Speech-Language Pathologist | 87 Interstate 10 N, Suite 225, Beaumont, TX 77707-2544 | 2015-10-19 |
| 1083014740 | Monique Estelle De Pau | Occupational Therapist | 87 Interstate 10 N, 225, Beaumont, TX 77707-2544 | 2014-09-01 |
| 1992104632 | Mary Margaret Mccormick | Speech-Language Pathologist | 87 Interstate 10 N, Suite 225, Beaumont, TX 77707-2544 | 2014-08-19 |
| 1437564812 | Alyssa Nicole Deramus | Speech-Language Pathologist | 87 Interstate 10 N, Frontage Rd #225, Beaumont, TX 77707-2544 | 2014-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
| 1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
| 1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
| 1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
| 1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
| 1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
| 1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
| 1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
| 1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
| 1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
| Find all providers in zip 77707 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407354665 | Dorothy Bernadine Joubert | Specialist/Technologist | 7473 Blewett Rd, Beaumont, TX 77705-8214 | 2018-01-23 |
| 1396256020 | Ashley Keaton | Specialist/Technologist | 1129 N Shooting Star Dr, Beaumont, CA 92223-8438 | 2017-10-20 |
| 1982070470 | Robert Rushing | Specialist/Technologist | 87 I-10 N, Suite 225, Beaumont, TX 77707 | 2015-08-19 |
| 1306153911 | Deirdre Delcambre-thigpen | Specialist/Technologist | 5550 Highland Ave, Suite B, Beaumont, TX 77705-6031 | 2010-09-02 |
| 1689221475 | Mar Y Selva Albarran Hernandez | Specialist/Technologist | 87 Ih 10 N Ste 225, Beaumont, TX 77707-2549 | 2019-08-26 |
| 1497263347 | Roger Kyle Lopez | Specialist/Technologist | 87 Interstate 10 N Ste 225, Beaumont, TX 77707-2549 | 2018-01-12 |
| 1922542562 | Courtney Jones | Specialist/Technologist | 87 Interstate 10 N, Suite 225, Beaumont, TX 77707-2544 | 2016-12-16 |
| 1578915773 | Heidi Odom | Specialist/Technologist | 87 Interstate 10 N, Beaumont, TX 77707-2544 | 2016-07-12 |
| 1932512837 | Krystle Milburn | Specialist/Technologist | 755 S 11th St, Ste 270, Beaumont, TX 77701-3732 | 2014-06-09 |
| 1205256559 | Janice Marie Williams | Specialist/Technologist | 755 S 11th St Ste 270, Beaumont, TX 77701-3730 | 2014-04-24 |
| Find all providers in BEAUMONT | ||||
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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.