AMANDA ELIZABETH LOUGHLIN (NPI# 1104321405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104321405 |
| Entity Type | Individual |
| Full Name | AMANDA ELIZABETH LOUGHLIN |
| Practice Address |
58 Carroll Street Lebanon VA 24266 |
| Mailing Address |
701 State St Unit 2 Bristol VA 24201-4142 |
| Practice Telephone | 2768838000 |
| Mailing Telephone | 4235576402 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024176000 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
58 CARROLL STREET |
| City | LEBANON |
| State | VA |
| Zip Code | 24266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003730 | Russell County Medical Center, Inc | General Acute Care Hospital | 58 Carroll Street, Lebanon, VA 24266 | 2005-06-17 |
| 1659897569 | Ashley Jane Jenkins | Nurse Practitioner | 58 Carroll Street, Suite 4, Lebanon, VA 24266 | 2017-08-22 |
| 1689043952 | Kelsey Wise Mccoy | Physician Assistant | 58 Carroll Street, Lebanon, VA 24266 | 2015-09-17 |
| 1790167351 | Blue Ridge Medical Management | Surgery | 58 Carroll Street, Suite 2d, Lebanon, VA 24266 | 2015-06-19 |
| 1407282098 | Meeradevi Sudarsanan | Nurse Practitioner | 58 Carroll Street, Suite 2, Lebanon, VA 24266 | 2013-09-16 |
| 1750690087 | Appalachian Emergency Physicians | Emergency Medicine | 58 Carroll Street, Lebanon, VA 24266-0001 | 2010-10-05 |
| 1437462025 | Blue Ridge Medical Management Corporation | Surgery | 58 Carroll Street, Ste 2, Lebanon, VA 24266-0000 | 2010-07-23 |
| 1073782900 | Mountain States Health Alliance | Anesthesiology | 58 Carroll Street, Lebanon, VA 24266-4510 | 2008-02-25 |
| 1972771236 | Mountain States Health Alliance | Anesthesiology | 58 Carroll Street, Lebanon, VA 24266 | 2008-02-20 |
| 1871761726 | Mountain States Health Alliance | Emergency Medicine | 58 Carroll Street, Lebanon, VA 24266-4510 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1184785115 | Lisa Jane Martin | Nurse Practitioner | 3791 State Route 63, Lebanon, OH 45036-9371 | 2006-12-13 |
| 1932128824 | Mary Pat Ernst | Nurse Practitioner | 71 S Flannagan Ave, Lebanon, VA 24266 | 2006-07-19 |
| 1619525383 | Nicholas Rock | Nurse Practitioner | 1600 W Main St, Lebanon, IN 46052-2388 | 2019-08-27 |
| 1790131340 | Vertrees Clinical Group, Pllc | Nurse Practitioner | 125 S College St, Lebanon, TN 37087-3642 | 2016-05-12 |
| 1639428303 | Arthoen A Wolf | Nurse Practitioner | 1 Medical Dr, Lebanon, NH 03756-1000 | 2012-09-10 |
| 1295007276 | Rebecca Ann Casey | Nurse Practitioner | One Medical Center Drive, Dept of Psychiatry, Lebanon, NH 03756-0001 | 2012-02-06 |
| 1831492115 | Holly Anne Liter | Nurse Practitioner | 1432 W Main St, Suite 402, Lebanon, TN 37087-1323 | 2010-12-08 |
| 1164607495 | Lee Ann Barnett | Nurse Practitioner | 1432 W Main St, Lebanon, TN 37087-1323 | 2008-01-05 |
| 1134331309 | Kirsten King | Nurse Practitioner | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2007-05-03 |
| Find all providers in LEBANON | ||||
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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.