AMANDA DAWN PEACOCK (NPI# 1134406184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134406184 |
| Entity Type | Individual |
| Full Name | AMANDA DAWN PEACOCK |
| Credential | ANP-C |
| Practice Address |
368 Fell St San Francisco CA 94102-5144 |
| Practice Telephone | 4158610828 |
| Practice Fax Number | 4158610257 |
| Mailing Telephone | 4158610828 |
| Mailing Fax Number | 4158610257 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2016-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
H-120679 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
J120679 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
95004519 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740732924 | Amanda Peacock | Physician Assistant | 1200 Evergreen Cir, Eastman, GA 31023-3568 | 2016-11-03 |
| 1831300334 | Amanda B. Peacock | Social Worker | 21 Pequossette St, Watertown, MA 02472-2761 | 2007-05-25 |
| 1437627098 | Amanda E Peacock | Case Manager/Care Coordinator | 1544 Elmira St, Aurora, CO 80010-2116 | 2018-11-12 |
| 1669721155 | Amanda B Peacock | Nurse Practitioner | 3 Shircliff Way, Suite 714, Jacksonville, FL 32204-4757 | 2012-08-30 |
| Street Address |
368 FELL ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-5144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285708057 | June Harvey | Community Health Worker | 368 Fell St, San Francisco, CA 94102 | 2006-11-20 |
| 1245831429 | Nicholas Zacharia Victor Hedlund | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-11-04 |
| 1851991574 | Natalia Rojas | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-30 |
| 1336748037 | Alanis K Suarez | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-22 |
| 1396344081 | Ventanta L Magallanes | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-22 |
| 1508465444 | Kaylin E Hernandez | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1366041204 | Jordan Tauber-marshall | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1174122006 | Shannon Page | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1295334134 | Crystal Ding Ho | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-10-21 |
| 1578170130 | Anna Stofle | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2020-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1285095018 | Yelena Pletmintseva | Clinical Nurse Specialist | 1701 Divisadero St # 120, San Francisco, CA 94115-3011 | 2016-03-07 |
| 1679083125 | Jill Marlene Jones | Clinical Nurse Specialist | 4150 Clement St, San Francisco, CA 94121-1563 | 2017-10-10 |
| 1356891741 | Robert Tamblin | Clinical Nurse Specialist | 400 Parnassus Ave, San Francisco, CA 94143-2202 | 2016-10-10 |
| 1811327208 | January Tenorio | Clinical Nurse Specialist | 1 Alder St, San Francisco, CA 94134-2136 | 2013-11-20 |
| 1437345394 | Myrna Kay Filman | Clinical Nurse Specialist | 1701 Ocean Ave, San Francisco, CA 94112 | 2007-09-24 |
| 1205926052 | Daniel Enrique Chan | Clinical Nurse Specialist | 2480 Mission St, #329, San Francisco, CA 94110-2487 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588131759 | Loice A Ongwela | Clinical Nurse Specialist | 300 Pasteur Dr Rm H0105, Stanford, CA 94305-2200 | 2018-10-25 |
| 1114300449 | Emma Avetisyan | Clinical Nurse Specialist | 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858 | 2015-07-06 |
| 1326332313 | Mary Pasdar | Clinical Nurse Specialist | 3003 Dow Ave Suite 204, Tustin, CA 92780 | 2011-06-07 |
| 1073830899 | Lynn Marie Fontana | Clinical Nurse Specialist | 255 N El Cielo Rd # C326, Palm Springs, CA 92262-6992 | 2010-05-04 |
| 1497948814 | Catherine A Bayne | Clinical Nurse Specialist | H-100 Santa Margarita Road, Naval Hospital, Camp Pendleton, CA 92055 | 2007-08-20 |
| 1609924075 | Gloria Jean Mcneal | Clinical Nurse Specialist | 5245 Pacific Concourse Drive Suite 100, National University Nurse Managed Clinic, Los Angeles, CA 90054-6905 | 2007-01-08 |
| 1811055528 | Li W Steffensen | Clinical Nurse Specialist | 9360 N Name Uno Ste 240, Gilroy, CA 95020-3535 | 2006-12-05 |
| 1043327679 | Kathleen Ohanlon | Clinical Nurse Specialist | San Diego Veterans Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161-0001 | 2006-08-23 |
| 1942279856 | Linda S. Brandewie | Clinical Nurse Specialist | 795 Willow Road, Menlo Park, CA 94025 | 2006-03-14 |
| 1487268967 | Juliet Regis Vista | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2942 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
Please comment or provide details below to improve the information on AMANDA DAWN PEACOCK.
| 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.