AMANDA H FERGUSON-MACY (NPI# 1124279575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124279575 |
| Entity Type | Individual |
| Full Name | AMANDA H FERGUSON-MACY |
| Credential | NNP |
| Practice Address |
2600 Greenbush St Lafayette IN 47904-2477 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Mailing Fax Number | 7654488335 |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2009-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28153028A | IN | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
71002781A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000610507 | 01 |
| IN | 200936930 | 05 |
| Street Address |
2600 GREENBUSH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1861039547 | Carly J Yoder | Audiologist | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-12-02 |
| 1306488978 | Jana Suzanne Doyle | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-10-15 |
| 1053968024 | Julie J Debord | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1679120653 | Renee L Weathington | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1265086565 | Emily L Newlin | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-07-25 |
| 1720555402 | Carrie Ann Anderson | Dietitian, Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-10-31 |
| 1306320270 | Britney D Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1790269694 | Kristie J Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1174048797 | Laura A Kilmer | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164433694 | Celeste Diane Perry | Nurse Practitioner | 107 Montrose Ave., Suite D, Lafayette, LA 70503 | 2006-08-10 |
| 1366946980 | Marie Bulliard Hanks | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2018-03-19 |
| 1811333149 | Suzanne Marie Hymel | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2013-05-14 |
| 1790714988 | Jennifer M Lemoine | Nurse Practitioner | 107 Montrose Ave, Suite D, Lafayette, LA 70503-3852 | 2006-07-01 |
| 1427008796 | Stephanie Elaine Leleux | Nurse Practitioner | 107 Montrose Ave, Lafayette, LA 70503-3852 | 2006-05-10 |
| 1255393807 | Bobbi Marino Caldwell | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665585 | Alexis Kate Felger | Nurse Practitioner | 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2020-10-02 |
| 1245861848 | Cindy Ann Syrek | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2020-02-01 |
| 1972164630 | Robyn Renee Thomas | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2019-06-24 |
| 1295393239 | Andrea Dee Coons | Nurse Practitioner | 2401 W University Ave, Muncie, IN 47303-3428 | 2019-06-04 |
| 1417451147 | Hollie Elizabeth Ainley | Nurse Practitioner | 8111 Township Line Rd, Indianapolis, IN 46260 | 2018-03-19 |
| 1477073880 | Amanda F Keafer | Nurse Practitioner | 7150 Clearvista Dr, Indianapolis, IN 46256-1695 | 2017-06-27 |
| 1588058739 | Halie Hoang Kudumula | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2015-03-26 |
| 1578803185 | Delores Ann Troyer | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2013-02-18 |
| 1366715492 | Kelley Ann Thompson | Nurse Practitioner | 1201 S Main St, Crown Point, IN 46307-8481 | 2012-02-21 |
| 1235424482 | Christen A Merkler | Nurse Practitioner | 11115 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 | 2011-06-16 |
| 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.