AMANDA COMBS


Address: 202 Beam Ln, Pocola, OK 74902-2463
Phone: 4799260332

AMANDA COMBS (NPI# 1053787283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053787283
Entity Type Individual
Full Name AMANDA COMBS
Practice Address 202 Beam Ln
Pocola
OK 74902-2463
Practice Telephone 4799260332
Mailing Telephone 4799260332
Enumeration Date 2015-08-11
Last Update Date 2015-08-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
A004509 AR Physician Assistants & Advanced Practice Nursing Providers

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1881133585 Amanda Combs Nurse Practitioner 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 2017-02-15
1689179780 Amanda Combs Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-03-29

Office Location

Street Address 202 BEAM LN
City POCOLA
State OK
Zip Code 74902-2463

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477009611 Ashlyn Beasley Case Manager/Care Coordinator 504 Morris St, Pocola, OK 74902 2016-08-28
1881721637 Pocola Nursing Center LLC Skilled Nursing Facility 200 Home Street, Pocola, OK 74902 2007-02-28
1780776237 Pocola Public Schools Public Health or Welfare 603 E Pryor Ave, Pocola, OK 74902-1901 2006-09-29
1467094524 Tahlina Weir Counselor 205 Cottonwood, Pocola, OK 74902-2340 2019-10-10
1841458262 John Thomas Coulbourn Counselor 1405 Blair St, Pocola, OK 74902-2860 2008-06-02
1487275699 Stateline Medical Lab LLC Clinical Medical Laboratory 105 N Pocola Blvd Ste 2, Pocola, OK 74902-3101 2020-04-28
1114421260 Stateline Medical LLC Clinical Medical Laboratory 105 N Pocola Blvd, Suite 2, Pocola, OK 74902-3101 2018-03-22
1023362779 Kal Home Health Inc Home Health 302 N Pocola Blvd, Pocola, OK 74902-3102 2012-11-02
1174785091 Shane Thomas Walker Chiropractor 1406 N Pocola Blvd, Pocola, OK 74902-3139 2008-07-01
1225238447 Haisten Enterprises PC Pharmacy 102 E Folsom Blvd, Pocola, OK 74902-3150 2007-07-25
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1265031819 Michelle Gaviola Nurse Practitioner 14867 Stoney Ridge Ln, Skiatook, OK 74070 2020-10-23
1235783325 Julie Reid Nurse Practitioner 519 W South Park St, Broken Arrow, OK 74011-2435 2019-07-28
1316504012 Malinda Kaye Reece Nurse Practitioner 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 2019-05-29
1235603606 Lori Kimberly Scott Nurse Practitioner 4320 Avalon Ct, Oklahoma City, OK 73120-8175 2019-01-18
1093280349 Christie Deloris Shelly Nurse Practitioner 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 2018-10-12
1285113274 Millicent Olulade Nurse Practitioner 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 2018-08-09
1437648201 Wendy Wilbur Nurse Practitioner 816 Crown Heights Ln, Purcell, OK 73080-9717 2018-05-07
1225542905 Chan Vannarath Nurse Practitioner 13401 Three Oaks Dr, Jones, OK 73049-8539 2017-11-17
1104978360 Maria Darlene Cordeiro Nurse Practitioner 10017 S Pennsylvania Ave, Oklahoma City, OK 73159-6919 2007-01-17
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Competitor

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City POCOLA
Zip Code 74902

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Dataset Information

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.

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