MRS. AMANDA LAUREN PETERSON-BLEDSOE (NPI# 1063937696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063937696 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LAUREN PETERSON-BLEDSOE |
| Credential | AGACNP-BC |
| Practice Address |
11690 Grooms Rd Blue Ash OH 45242-1412 |
| Mailing Address |
3824 Gatewood Dr Cincinnati OH 45245-2709 |
| Practice Telephone | 5139179697 |
| Mailing Telephone | 5139179697 |
| Mailing Fax Number | 5139018068 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.391672 | OH | Nursing Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.021254 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 126 Wilson Dr, Xenia, OH 453851848 | 5139179697 | |
| 12745 Elm Corner Rd, Williamsburg, OH 451769621 | 5139179697 | |
| 2250 Banning Rd, Cincinnati, OH 452396608 | 5139179697 | |
| 230 Cherry St, Chillicothe, OH 456012301 | 5139179697 | |
| 3000 Mcgee Ave, Middletown, OH 450444991 | 5139179697 | |
| 3434 Oh-132, Amelia, OH 45102 | 5139179697 | |
| 425 Lauricella Ct, Englewood, OH 45322 | 5139179697 | |
| 4960 Old U.S. 35, Jamestown, OH 45335 | 5139179697 | |
| 700 Monroe Rd, Lebanon, OH 450361409 | 5139179697 | |
| 7300 Mcewen Rd, Dayton, OH 454593903 | 5139179697 |
| Street Address |
11690 GROOMS RD |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285940130 | Leann Marie Sabatini | Nurse Practitioner | 11690 Grooms Rd, Blue Ash, OH 45242 | 2010-08-28 |
| 1629605639 | Assurance Health Clarksville LLC | Psychiatry & Neurology | 11690 Grooms Rd, Blue Ash, OH 45242-1412 | 2020-03-27 |
| 1962043471 | Njideka Jacintha Ejinaka | Nurse Practitioner | 11690 Grooms Rd, Blue Ash, OH 45242-1412 | 2019-10-05 |
| 1467989608 | Sara Hambidge | Physical Therapist | 11690 Grooms Rd, Blue Ash, OH 45242-1412 | 2017-05-18 |
| 1710360474 | Assurance Health Cincinnati, LLC | Psychiatric Hospital | 11690 Grooms Rd, Blue Ash, OH 45242-1412 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
| Find all providers in zip 45242 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839844 | Jarred Lee Uhrig | Nurse Practitioner | 3535 Southern Blvd Ste 2100, Kettering, OH 45429-1221 | 2020-10-23 |
| 1982202768 | Stephanie Yvonne Alexander | Nurse Practitioner | 2936 S Patterson Blvd, Dayton, OH 45419-1311 | 2020-10-13 |
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1518565837 | Kristen Michelle Swartz | Nurse Practitioner | 1661 Holland Rd Ste 200, Maumee, OH 43537-1659 | 2020-10-09 |
| 1205443454 | Natalie Gayle Brosz | Nurse Practitioner | 1118 Black Horse Run, Loveland, OH 45140-9019 | 2020-09-30 |
| 1982211595 | Jessica Lynne Barnett | Nurse Practitioner | 6632 Echo Ln, Cincinnati, OH 45230-1414 | 2020-09-28 |
| 1538776513 | Krista Ann Korey | Nurse Practitioner | 763 Colbert Cir, Cincinnati, OH 45240-3617 | 2020-09-24 |
| 1104433036 | Kenneth Michael Moreland | Nurse Practitioner | 6824 Linbrook Blvd, Columbus, OH 43235-5117 | 2020-09-24 |
| 1215543582 | Eliezar Agaran | Nurse Practitioner | 4488 Aspen Dr, Liberty Twp, OH 45011-5210 | 2020-09-21 |
| 1609482058 | Noel Boyd | Nurse Practitioner | 7421 Dog Trot Rd, Cincinnati, OH 45248-1309 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
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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.