DR. AMANDA GRACE STOUT (NPI# 1083079636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083079636 |
| Entity Type | Individual |
| Full Name | DR. AMANDA GRACE STOUT |
| Other Name | AMANDA GRACE CARR |
| Practice Address |
200 State Hospital Dr Danville PA 17821-9103 |
| Mailing Address |
200 State Hospital Dr Danville PA 17821 |
| Practice Telephone | 5702714500 |
| Mailing Telephone | 5708982175 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP442733 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447417381 | Amanda Stout | Registered Nurse | 210 Douglas Cir, Georgetown, OH 45121-1469 | 2008-05-19 |
| 1790278935 | Amanda Stout | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-12 |
| 1477097210 | Amanda Stout | Counselor | 750 Broadway Ave E, Mattoon, IL 61938-4610 | 2016-12-13 |
| 1699143859 | Amanda Jean Stout | Community Health Worker | 420 W 5th Ave, Flint, MI 48503-2445 | 2015-09-04 |
| 1982840344 | Amanda Stout | Counselor | 165 Main St Ste A, Cortland, NY 13045-3049 | 2009-01-06 |
| Street Address |
200 STATE HOSPITAL DR |
| City | DANVILLE |
| State | PA |
| Zip Code | 17821-9103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447299680 | Basant K. Singh | Psychiatry & Neurology | 200 State Hospital Dr, Danville State Hospital, Danville, PA 17821-9103 | 2006-06-05 |
| 1306125497 | Erin Ann Mcgee | Psychologist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2011-08-08 |
| 1669548558 | Sherry Lee Bingaman | Pharmacist | 200 State Hospital Dr, Danville State Hospital, Danville, PA 17821-9103 | 2006-11-24 |
| 1285715029 | John David Ayres Jr. | Pharmacist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2006-10-18 |
| 1689760027 | Daniel Brian Koontz | Pharmacist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2006-10-05 |
| 1801905807 | Leonard Phillip Boltinghouse | Pharmacist | 200 State Hospital Dr, Danville, PA 17821-9103 | 2006-08-30 |
| 1265452528 | Chandresh R Shah | General Practice | 200 State Hospital Dr, Danville, PA 17821-9198 | 2006-07-20 |
| 1679507255 | Marilyn L Kistner | Psychologist | 200 State Hospital Dr, Danville, PA 17821-9198 | 2006-07-10 |
| 1609800259 | Karl A. Hoffman | Psychologist | 200 State Hospital Dr, Danville, PA 17821-9198 | 2006-07-10 |
| 1730112699 | Benjamin A. Corteza | General Practice | 200 State Hospital Dr, Danville, PA 17821-9198 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376163014 | Geisinger Clinic | Medical Genetics | 3 Wesner Lane, 1st Floor, Danville, PA 17821 | 2020-04-23 |
| 1437620853 | Teresa Lynne Hess | Pharmacist | 553-555 Mahoning St, Milton, PA 17821 | 2018-12-11 |
| 1013257393 | Greggory Lewis Anderson | Speech-Language Pathologist | 64 Rehab Lane, Danville, PW 17821 | 2013-02-22 |
| 1487920047 | Eve Marina Santos | Dentist | 444 Pine St, Danville, PA 17821 | 2012-03-28 |
| 1164758371 | Mary Gergis | Physician Assistant | 604 Continental Blvd, Danville, PA 17821 | 2009-10-22 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1407999766 | Cmsu Behavioral Health and Developmental Services | Case Management | 507 E Market St, Danville, PA 17821 | 2007-02-15 |
| 1912074261 | John Stephen Foster | Physical Therapist | 11 Northumberland Street, Danville, PA 17821 | 2006-11-30 |
| 1073587796 | Susquehanna Valley Home Health Care | Home Health | 273 Gotschal Rd, Danville, PA 17821 | 2006-02-17 |
| 1306302716 | Lindsay A Hauser | Nurse Practitioner | 175 Northumberland Street, Danville, PA 17821 | 2019-02-11 |
| Find all providers in zip 17821 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1295333490 | Afrooz Nikoobakht | Pharmacist | 140 Abbey Rd, Danville, PA 17821-8423 | 2020-10-12 |
| 1467086413 | Larry Chan | Pharmacist | 3645 Deer Trail Dr, Danville, CA 94506-6021 | 2020-02-28 |
| 1639716905 | Rodney Vance Parker | Pharmacist | 309 E. 8th Street, Danville, AR 72834 | 2019-12-05 |
| 1437617412 | Marianne Nagui Anwar Iskandar | Pharmacist | 716 Westbrook Ct, Danville, CA 94506-1205 | 2019-03-08 |
| 1235601220 | Lisa Ann Olejnik | Pharmacist | 140 Continental Blvd, Danville, PA 17821-1089 | 2019-01-01 |
| 1295245710 | Heather Augustine | Pharmacist | 100 N Academy Ave # 42-01, Danville, PA 17822-9800 | 2017-10-11 |
| 1912428442 | Steven Sarwat Kheloussi | Pharmacist | 100 N Academy Ave # 38-87, Danville, PA 17822-9800 | 2017-07-06 |
| 1134666258 | Robert Verdina | Pharmacist | 10 Edinburgh Pl, Danville, CA 94526-2948 | 2017-01-26 |
| Find all providers in DANVILLE | ||||
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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.