AMANDA M NETHERLY (NPI# 1114410404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114410404 |
| Entity Type | Individual |
| Full Name | AMANDA M NETHERLY |
| Practice Address |
289 Jupiter Dr Cincinnati OH 45238-6035 |
| Practice Telephone | 5135492710 |
| Mailing Telephone | 5135492710 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | 201806900600 | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GENERAL CONTRACTOR | 201806900600 | 01 |
| Street Address |
289 JUPITER DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780179796 | Vero Custom Construction | Point of Service | 289 Jupiter Dr, Cincinnati, OH 45238-6035 | 2018-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879792 | Sarah Eleanor Mcknight | Technician/Technologist | 5151 Monroe St # 232, Toledo, OH 43623-3462 | 2020-10-20 |
| 1447862677 | Teresa Ann Claude | Technician/Technologist | 938 Harbinger Cir W, Columbus, OH 43213-6124 | 2020-08-19 |
| 1992075766 | Laura M Paris | Technician/Technologist | 1895 Cooper Foster Park Rd Ste 103, Amherst, OH 44001-1206 | 2012-01-10 |
| 1063013670 | Cassidy Lynn Felgner | Technician/Technologist | 5151 Monroe St, Toledo, OH 43623-3462 | 2020-11-02 |
| 1891318069 | Edward Briton Palmer | Technician/Technologist | 5718 Signal Hill Ct Ste B, Milford, OH 45150-1452 | 2020-05-22 |
| 1104464874 | Garey P Pisello | Technician/Technologist | 5151 Monroe St Ste 232, Toledo, OH 43623-3462 | 2019-12-12 |
| 1396387429 | Jennifer Lynn Braucher-miller | Technician/Technologist | 5151 Monroe St Ste 232, Toledo, OH 43623-3462 | 2019-10-09 |
| 1609431642 | Samantha Bonin | Technician/Technologist | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2019-05-06 |
| 1760951834 | Nicole Lynn Schenk | Technician/Technologist | 6140 S Broadway, Lorain, OH 44053 | 2018-11-19 |
| 1629556774 | Ryan Bosse | Technician/Technologist | 8118 Corporate Way, Mason, OH 45040-7350 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
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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.