MRS. AMANDA RAE REANEY (NPI# 1174832893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174832893 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RAE REANEY |
| Credential | MSPAS, PA-C |
| Practice Address |
3204 Cherokee Dr Marion IL 62959-5255 |
| Practice Telephone | 6189223739 |
| Mailing Telephone | 6189223739 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2013-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3204 CHEROKEE DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1891316212 | Amanda Roye | Physician Assistant | 1812 Colonial Dr, Marion, IL 62959-6459 | 2020-04-27 |
| 1932646205 | Courtney Abrams | Physician Assistant | 472 Rankin Dr., Marion, NC 28752 | 2017-01-25 |
| 1982152401 | Katryna Horton | Physician Assistant | 115 Allen Cv, Marion, AR 72364-8001 | 2016-09-13 |
| 1942592324 | Jennifer Nicole Smith | Physician Assistant | 5623 Us 221 S, Marion, NC 28752-7028 | 2011-05-04 |
| 1528186947 | Sandra Grazulewicz | Physician Assistant | 130 Finley Gayle Dr, Marion, VA 24354-3141 | 2007-03-26 |
| 1346377199 | Steven Lee Martinez | Physician Assistant | 3003 Civic Circle Blvd Ste 200, Marion, IL 62959-5259 | 2007-02-28 |
| 1033250576 | Nicole A Johnson | Physician Assistant | 8305 Express Drive, Suite C, Marion, IL 62959 | 2007-02-09 |
| 1235215633 | Jennifer L Alexander | Physician Assistant | 3106 Outer Drive, Marion, IL 62959 | 2006-10-27 |
| 1083798276 | Mitchell S Swieca | Physician Assistant | 3331 West Deyoung St, Suite 105, Marion, IL 62959 | 2006-10-24 |
| Find all providers in MARION | ||||
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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.