MRS. AMELIE P. MCKNEELY (NPI# 1003984105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003984105 |
| Entity Type | Individual |
| Full Name | MRS. AMELIE P. MCKNEELY |
| Credential | PA-C |
| Practice Address |
3485 Independence Dr Homewood AL 35209-5603 |
| Practice Telephone | 2059300920 |
| Practice Fax Number | 2054450115 |
| Mailing Telephone | 2059300920 |
| Mailing Fax Number | 2054450115 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
494 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS AND BLUE SHIELD | 511-17067 | 01 |
| AL | MEDICARE PTAN | 102I976217 | 01 |
| AL | 130341 | 05 |
| Street Address |
3485 INDEPENDENCE DR |
| City | HOMEWOOD |
| State | AL |
| Zip Code | 35209-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498370 | Brian J Larson | Radiology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2005-06-21 |
| 1497232458 | Mersadies Berlynn Orr | Nurse Practitioner | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-07-23 |
| 1649775412 | Bellamy Clarissa Davis | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2018-03-26 |
| 1831633098 | Krystle E Phillips | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2016-12-07 |
| 1265824395 | David Thomas Gilmore | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2015-02-26 |
| 1275890386 | Tyler Lewis Poston | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2012-04-13 |
| 1831489707 | Laura Ashley Martin | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2011-04-13 |
| 1770710915 | Alison Marie Parden | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2009-06-15 |
| 1073778452 | Michael Eric Brewer Jr. | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-07-24 |
| 1427218460 | Austin T Lutz | Urology | 3485 Independence Dr, Homewood, AL 35209-5603 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194753830 | Claire Hood Donaldson | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-06-29 |
| 1477527075 | Mary Teague Ingle | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-02-13 |
| 1255305827 | Rebecca Lynn Holmes | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-02-13 |
| 1972577559 | Alice Christella Spivey | Physician Assistant | 3485 Independence Dr, Homewood, AL 35209-5603 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942771183 | Sarah Elizabeth Sloop | Physician Assistant | 4300 W Main St Ste 24, Dothan, AL 36305-1312 | 2018-12-16 |
| 1053887885 | Rachel B Rigsby | Physician Assistant | 22454 Us Highway 72 Ste 200, Athens, AL 35613-2609 | 2018-10-19 |
| 1588139349 | Lauren M Sheffield | Physician Assistant | 22454 Hwy 72, Suite 200, Athens, AL 35613 | 2018-10-09 |
| 1255815908 | Cora Kuhns | Physician Assistant | 6401 Jordan Rd Suite A, Daphne, AL 36526-4728 | 2018-09-19 |
| 1396282026 | Travis Blackburn | Physician Assistant | 200 Montgomery Hwy Ste 125, Vestavia, AL 35216-1840 | 2017-01-19 |
| 1043603236 | Julie Boyd | Physician Assistant | 516 20th St S, Birmingham, AL 35233-2028 | 2015-03-11 |
| 1255738605 | James Cilimberg | Physician Assistant | 2871 Acton Rd, Suite 100, Vestavia, AL 35243-2559 | 2014-12-01 |
| 1780950733 | Laura Nugent Bradley | Physician Assistant | 800 St. Vincent's Drive, Suite 700, Birmingham, AL 35205-1630 | 2012-03-23 |
| 1740583780 | University Orthopaedic Clinic, PC | Physician Assistant | 1732 Temple Ave N, Fayette, AL 35555-1321 | 2010-12-14 |
| 1811290968 | Lacey Golden | Physician Assistant | 48 Medical Park Dr E Ste 255, Birmingham, AL 35235-3464 | 2010-12-13 |
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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.