AMANDA D. HADDOX


Address: 3415 Maccorkle Ave Se, Charleston, WV 25304-1334
Phone: 3043888380

AMANDA D. HADDOX (NPI# 1184072886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184072886
Entity Type Individual
Full Name AMANDA D. HADDOX
Credential FNP-BC
Practice Address 3415 Maccorkle Ave Se
Charleston
WV 25304-1334
Practice Telephone 3043888380
Practice Fax Number 3043888395
Mailing Telephone 3043888380
Mailing Fax Number 3043888395
Enumeration Date 2016-06-03
Last Update Date 2016-06-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family 		66449 WV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3415 MACCORKLE AVE SE
City CHARLESTON
State WV
Zip Code 25304-1334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144224643 Marie Beaumont Zwick Nurse Practitioner 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2005-06-13
1427529130 Sarah Elaine Eplion Nurse Practitioner 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2018-12-07
1588139216 Melanie Suzanne Williams Nurse Practitioner 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2018-10-09
1225554330 Sarah Lynne Fending Pharmacist 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2017-08-21
1689121469 Krystle J. Jones Nurse Practitioner 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2016-09-08
1598134140 Benjamin Peck Pharmacist 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2015-09-24
1174991566 Billie Jo Thomas Nurse Practitioner 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2015-09-02
1134518186 Charleston Area Medical Center, Inc. Pharmacy 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2015-01-14
1407254329 Elizabeth S Monast Genetic Counselor, MS 3415 Maccorkle Ave Se, Third Floor, Charleston, WV 25304-1334 2014-12-09
1487075024 Gwenalyn G. C. Garcia Internal Medicine 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 2013-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740893908 Sade Yvonne Rice Technician 392 B South Parkd Rd, Charleston, WV 25304 2020-08-27
1053931410 Pir Ali Shah Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 2020-04-25
1649807603 Jasmine Shah Student in an Organized Health Care Education/Training Program 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 2020-03-26
1447811872 Kwasi Amponsah Gambrah Student in an Organized Health Care Education/Training Program 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 2019-06-26
1457916751 Divya Kalluru Student in an Organized Health Care Education/Training Program 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 2019-05-02
1841854965 Sean Michael Percy Losier Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 2019-04-24
1700440047 Priyanka Chowdhry Student in an Organized Health Care Education/Training Program Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 2019-04-23
1568925469 Saranya Dinesan Student in an Organized Health Care Education/Training Program 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 2019-04-09
1043771694 Mary Elizabeth Novak Student in an Organized Health Care Education/Training Program Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 2019-03-27
1124518600 Abdullah Sohail Student in an Organized Health Care Education/Training Program 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 2018-05-10
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557737 Diondra Johnson Nurse Practitioner 2327 Watchtower Ln, Charleston, SC 29414-7803 2020-10-27
1427656735 Kisha Lanece James Nurse Practitioner 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 2020-10-09
1043822216 Amber Bagwell Nurse Practitioner 442 King St Fl 2, Charleston, SC 29403-6230 2020-08-19
1790396273 Amanda Jo Grant Nurse Practitioner 2207 Seneca Dr, Charleston, IL 61920-3836 2020-08-10
1811514961 Isabel Margarita Lemasters Nurse Practitioner 3226 Moonlight Dr, Charleston, SC 29414-8052 2020-07-05
1255954566 Christina L. White Nurse Practitioner 1199 Persimmon Rd, Charleston, IL 61920 2020-05-20
1770123929 Catherine A. Woods Nurse Practitioner 9313 Medical Plaza Dr Ste 310, Charleston, SC 29406-9197 2020-01-15
1104464999 Brittany D Griffith Nurse Practitioner 830 Pennsylvania Ave Ste 402, Charleston, WV 25302-3390 2019-12-12
1437795747 Brigitte Britt Huttemeyer Nurse Practitioner 678 Castle Pinckney Dr, Charleston, SC 29412 2019-11-21
1124660774 Dennis Robert Moore Nurse Practitioner 4610 Kanawha Ave Sw Ste 302, Charleston, WV 25309-1367 2019-10-16
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Competitor

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City CHARLESTON
Zip Code 25304

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Dataset Information

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.

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