AMANDA BELLE HETTINGER (NPI# 1063401354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401354 |
| Entity Type | Individual |
| Full Name | AMANDA BELLE HETTINGER |
| Credential | MD |
| Practice Address |
4123 Dutchmans Ln Suite 503 Louisville KY 40207-4707 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5024095600 |
| Practice Fax Number | 5022593078 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
42690 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 272440 | 05 | |
| KY | 64119936 | 05 |
| Street Address |
4123 DUTCHMANS LN SUITE 503 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022496 | Rhonda W. Howard | Nurse Practitioner | 4123 Dutchmans Ln, Suite 515, Louisville, KY 40207-4707 | 2005-06-02 |
| 1518509777 | Blair Kelly Wagner | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2019-10-09 |
| 1750805966 | Patrick Mcrae | Nurse Practitioner | 4123 Dutchmans Ln, Louisville, KY 40207-4707 | 2017-07-29 |
| 1285006049 | Erin M Parker | Nurse Practitioner | 4123 Dutchmans Ln, Suite 101, Louisville, KY 40207-4707 | 2015-10-20 |
| 1831434455 | Eran Rosenberg | Urology | 4123 Dutchmans Ln, Suite 102, Louisville, KY 40207 | 2012-12-07 |
| 1790076487 | Katherine E Caldwell | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-04-28 |
| 1851690846 | Angela Marie Cox | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2011-03-16 |
| 1467759035 | Jaclyn Haley Alexander | Nurse Practitioner | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2011-02-17 |
| 1306152939 | Ansel Tsung Jin Tjin-a-tam | Pediatrics | 4123 Dutchmans Ln, Suite 301, Louisville, KY 40207-4707 | 2010-08-19 |
| 1790002517 | Daniel Nathan Ginn | Obstetrics & Gynecology | 4123 Dutchmans Ln, Ste. 300, Louisville, KY 40207-4707 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821637125 | Ocean Behavioral Healthcare LLC | Psychiatry & Neurology | 310 E Broadway Ste 102, Louisville, KY 40202-1745 | 2020-01-03 |
| 1023445913 | Your Psychological Needs, Inc. | Psychiatry & Neurology | 13113 Eastpoint Park Blvd Ste C, Louisville, KY 40223-4191 | 2013-10-09 |
| 1326393877 | Alexis M. Guerrero | Psychiatry & Neurology | 907 Rugby Pl, Louisville, KY 40222-5641 | 2012-07-20 |
| 1417210824 | Teresa Walker | Psychiatry & Neurology | 2910 W Jefferson St, Louisville, KY 40212-1771 | 2012-06-20 |
| 1235496191 | Kari Kristiane Dubosque | Psychiatry & Neurology | 10608 Gleneagle Pl, Louisville, KY 40223-2667 | 2012-04-17 |
| 1376823443 | Frederick Allen Walker | Psychiatry & Neurology | 11405 Park Rd Ste 160, Louisville, KY 40223-2427 | 2011-08-22 |
| 1770872798 | Caroline Amanda Mcdonald | Psychiatry & Neurology | 323 E Chestnut St, Louisville, KY 40202-1823 | 2011-03-30 |
| 1942444948 | Kenneth Scott Davis | Psychiatry & Neurology | 1837 Edenside Ave, Louisville, KY 40204-1521 | 2009-04-22 |
| 1912195223 | Anthony J Siegel | Psychiatry & Neurology | 4401 Louise Underwood Way, Louisville, KY 40216-3986 | 2007-10-11 |
| 1700072287 | Ora Frankel | Psychiatry & Neurology | 2327 Lime Kiln Ln Ste A, Louisville, KY 40222-3422 | 2007-09-19 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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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.