AMANDA LOUISE CLARK (NPI# 1225666035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225666035 |
| Entity Type | Individual |
| Full Name | AMANDA LOUISE CLARK |
| Credential | RN, BSN |
| Practice Address |
10 Mcclennan Banks Dr Charleston SC 29425-0001 |
| Mailing Address |
2416 Castlereagh Rd Charleston SC 29414-6131 |
| Practice Telephone | 8437922300 |
| Mailing Telephone | 6146324049 |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2020-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
246707 | SC | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851680 | Amanda Lou Clark | Technician | 4631 Diana Dr, Diana, WV 26217-8777 | 2020-08-11 |
| 1881220226 | Amanda S Clark | Nurse Practitioner | 1115 State St # 4342, Cayce, SC 29033-4342 | 2020-03-17 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1467956003 | Amanda K Clark | Respiratory Therapist, Certified | 1225 Laurel St Ste 219, Columbia, SC 29201-5826 | 2018-03-20 |
| 1992257281 | Amanda Clark | Occupational Therapy Assistant | 7146 Bahne Rd, Fairview, TN 37062 | 2016-11-02 |
| 1578938163 | Amanda Leigh Clark | Occupational Therapy Assistant | 218 Mill Hill Acres Dr, Peterstown, WV 24963-9797 | 2015-12-08 |
| 1043554256 | Amanda J Clark | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Suite E, Bloomington, IN 47403-2089 | 2012-11-15 |
| 1770810954 | Amanda J Clark | Specialist/Technologist | 8700 Sheridan Road, Nw, Thornville, OH 43076 | 2009-11-10 |
| 1891967204 | Amanda Bleu Clark | Counselor | 150 Nickerson St Ste 303, Seattle, WA 98109 | 2008-03-25 |
| 1689682205 | Amanda Lou Clark | Obstetrics & Gynecology | 5050 Ne Hoyt St Ste 255, Portland, OR 97213-2982 | 2006-08-03 |
| Street Address |
10 MCCLENNAN BANKS DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093965 | Caitlyn Chimento | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-11-04 |
| 1902413024 | Nathan O'dell | Pharmacist | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-09-24 |
| 1043835531 | Johnny Dean Phillips IIi | Pediatrics | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-06-10 |
| 1366065021 | Nicholas B Aizcorbe | Pediatrics | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-05-28 |
| 1699395087 | Ryan Michael Vesper | Pharmacist | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198418 | Donna Lynn Lancaster | Registered Nurse | 75 Calhoun St, Charleston, SC 29401-3538 | 2013-08-14 |
| 1174955660 | Sarah French Conrad | Registered Nurse | 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2013-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093168890 | Karen Denise Medlock | Registered Nurse | 120 Windward Peak Ct, Greer, SC 29651-5003 | 2016-07-15 |
| 1942541388 | Jessica Lin Eadon | Registered Nurse | 225 N Brickyard Rd, Columbia, SC 29223-6923 | 2013-03-11 |
| 1629312806 | Patricia Archibald | Registered Nurse | 968 Starr Ridge Rd, Gaffney, SC 29340-6144 | 2012-11-12 |
| 1558995357 | Kristin Hodges Werts | Registered Nurse | 601 Lucas Ave, Laurens, SC 29360-2149 | 2020-03-02 |
| 1477970275 | Sally Anne Clark | Registered Nurse | 145 E Cheves St, Florence, SC 29506-2526 | 2014-03-19 |
| 1770926511 | Diane Pikelis Arnold | Registered Nurse | 300 Columbia Ave, Chapin High School, Chapin, SC 29036 | 2013-04-11 |
| City | CHARLESTON |
| Zip Code | 29425 |
Please comment or provide details below to improve the information on AMANDA LOUISE CLARK.
| 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.