AMANDA WADDELL


Address: 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806
Phone: 4087585650

AMANDA WADDELL (NPI# 1306378641) 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) 1306378641
Entity Type Individual
Full Name AMANDA WADDELL
Credential F.N.P.
Practice Address 1375 Blossom Hill Rd
Suite 49
San Jose
CA 95118-3806
Practice Telephone 4087585650
Enumeration Date 2017-03-28
Last Update Date 2017-03-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95005725 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA WADDELL

NPI Name Taxonomy Address Enumeration
1215461785 Amanda Waddell Hospitalist 6644 E Baywood Ave, Mesa, AZ 85206-1797 2017-04-11
1306943931 Amanda Waddell Nurse Practitioner 104 S Front Ave, Prestonsburg, KY 41653-1614 2006-09-17

Office Location

Street Address 1375 BLOSSOM HILL RD
SUITE 49
City SAN JOSE
State CA
Zip Code 95118-3806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437252301 Vladimir G. Skorokhod Emergency Medicine 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 2006-09-06
1740816552 Drew Leggett Physician Assistant 1375 Blossom Hill Rd, San Jose, CA 95118-3806 2020-03-13
1871968982 Sarith Ly Nurse Practitioner 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 2015-12-01
1871963835 Rachel Wu Physician Assistant 1375 Blossom Hill Rd, Ste. 49, San Jose, CA 95118-3806 2015-10-03
1205186442 Action Urgent Care Inc Clinic/Center 1375 Blossom Hill Rd, San Jose, CA 95118-3806 2012-09-14
1174883250 Ganna Baetge Physician Assistant 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 2012-05-22
1851661276 Mary Vic Amor Mendija Bustillo Nurse Practitioner 1375 Blossom Hill Rd, Suite 49, San Jose, CA 95118-3806 2012-01-02
1710299474 Jennifer Horton Nurse Practitioner 1375 Blossom Hill Rd, San Jose, CA 95118-3806 2010-07-10
1508037573 In Focus Optometry, Inc Optometrist 1375 Blossom Hill Rd, Suite 28, San Jose, CA 95118-3806 2008-03-18
1902981517 Weyland Dear Optometrist 1375 Blossom Hill Rd, Ste 7, San Jose, CA 95118-3806 2006-10-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235620907 Misty Henne-bhullar Dmd Inc. Dentist 4984 Cherry Ave, San Jose, CA 95118 2018-05-29
1770013096 Eunju Bang Acupuncturist 3315 Almaden Expy Ste 27, San Jose, CA 95118 2017-06-19
1306299391 Satellite Healthcare Inc Clinic/Center 1450 Kooser Road, San Jose, CA 95118 2016-07-14
1881060739 Brittany Star Curry Physical Therapist 3150 Almaden Expy Ste 120, San Jose, CA 95118 2015-08-14
1154690188 Carrie Herbst Marriage & Family Therapist 1390 Dentwood Dr, San Jose, CA 95118 2011-12-20
1104096825 Cheryl Ann Engelstad Marriage & Family Therapist 1455 E Foxworthy Ave, Pmb 159, San Jose, CA 95118 2008-03-10
1427251271 Eric John Bohl Marriage & Family Therapist 4990 Speak Ln., Suite 100, San Jose, CA 95118 2007-06-08
1326249954 Marcia May Kaufmann Social Worker 4990 Speak Lane, Suite 100, San Jose, CA 95118 2007-05-30
1386796498 Rena Jean Zahorsky Marriage & Family Therapist 4990 Speak Lane Suite 100, San Jose, CA 95118 2007-01-17
1992885883 Minoo Mehdikhan Psychologist 1131 Luchessi Dr Suite 2, San Jose, CA 95118 2006-10-16
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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
1518565738 Lena Kil Nurse Practitioner 3680 Greenlee Dr Apt 4, San Jose, CA 95117-1469 2020-10-09
1740893858 Esther Kiang Nurse Practitioner 1072 E Santa Clara St, San Jose, CA 95116-2245 2020-08-28
1902419575 Leonard Iskander Nurse Practitioner 1146 Summerpark Ct, San Jose, CA 95132-2944 2020-08-25
1760004055 Destiny Ann Brewer Nurse Practitioner 4735 Hamilton Ave # 80, San Jose, CA 95130-1769 2020-05-11
1841825148 Marta Anna Sivarajah Nurse Practitioner 255 N. White Rd., San Jose, CA 95127-1966 2020-03-06
1114567500 Sabine Dorothea Haas Nurse Practitioner 1879 Lundy Ave Ste 233, San Jose, CA 95131-1881 2020-01-14
1861033870 Jessica Gutierrez Nurse Practitioner 635 S 11th St Apt 14, San Jose, CA 95112-2343 2019-10-01
1124589379 Yvonne Ndeh Nurse Practitioner 418 Shadowgraph Dr, San Jose, CA 95110-3564 2019-03-29
1588139661 Vicky Chi Lin Nurse Practitioner 100 Oak St Rm F-3, San Jose, CA 95110-2817 2018-10-04
1851884381 Anh Tuan Huynh Nurse Practitioner 3100 Rubino Dr Apt 310, San Jose, CA 95125-6369 2018-06-09
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Competitor

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City SAN JOSE
Zip Code 95118

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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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