AMANDA LOU CLARK (NPI# 1346851680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346851680 |
| Entity Type | Individual |
| Full Name | AMANDA LOU CLARK |
| Practice Address |
4631 Diana Dr Diana WV 26217-8777 |
| Practice Telephone | 3046369396 |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225666035 | Amanda Louise Clark | Registered Nurse | 10 Mcclennan Banks Dr, Charleston, SC 29425-0001 | 2020-03-28 |
| 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 |
4631 DIANA DR |
| City | DIANA |
| State | WV |
| Zip Code | 26217-8777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460173 | Jennifer Kay Dyess | Licensed Vocational Nurse | 7349 Simmons Rd, Diana, TX 75640-3905 | 2020-09-01 |
| 1841823176 | Alexis Christine Ormes | Naturopath | 10323 State Highway 154 E, Diana, TX 75640-3698 | 2020-02-14 |
| 1376175653 | Stormi Breann Waddell | Registered Nurse | 12304 Blackman Rd, Diana, TX 75640-3421 | 2020-02-05 |
| 1528600574 | Shearren Johnson | Family Medicine | 2162 Us Highway 259 S, Diana, TX 75640-3510 | 2019-10-10 |
| 1164086245 | Divine Grace Pharmacy LLC | Pharmacist | 1970 Us Highway 259 S # 100, Diana, TX 75640-4037 | 2019-04-24 |
| 1215407416 | Candy Renita Scott | Counselor | 2815 Yellow Rose Rd, Diana, TX 75640-2698 | 2018-11-29 |
| 1033603097 | Teresa M Phillips | Physical Therapy Assistant | 14145 State Highway 154 E, Diana, TX 75640 | 2018-06-21 |
| 1326402280 | Crystal Whitfield | Specialist/Technologist | 119 Grace Ln, Diana, TX 75640 | 2016-04-07 |
| 1841691649 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1787 Us Highway 259 S, Diana, TX 75640-3503 | 2014-09-11 |
| 1962772509 | Philippa A Donaghy | Physical Therapist | 2777 Zinnia Rd, Diana, TX 75640-3019 | 2012-01-12 |
| Find all providers in DIANA | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336980 | Tricia Carpenter | Technician | 123 Water St, Spencer, WV 25276-1736 | 2020-11-08 |
| 1922609619 | Michael Nakonechny | Technician | 1443 20th St, Parkersburg, WV 26101-3421 | 2020-11-08 |
| 1942801634 | Connie Stewart | Technician | 64 Cardinal Ln, Glenville, WV 26351-1700 | 2020-11-08 |
| 1215538905 | Mary Caplinger | Technician | 2201 Beverly St, Parkersburg, WV 26101-6814 | 2020-11-08 |
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1396346086 | Danielle Ayers | Technician | 9691 N Calhoun Hwy, Big Springs, WV 26137-7537 | 2020-11-08 |
| 1649871328 | Leah West | Technician | 132 Miller Dr Apt D, Ripley, WV 25271-1126 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1790386605 | Samantha Faye Oscar | Technician | 279 Roy Dr, Ridgeley, WV 26753-9451 | 2020-11-06 |
| 1235730185 | Andrew Lee Fluharty | Technician | 1222 23rd St, Parkersburg, WV 26101-2702 | 2020-11-06 |
| Find all providers with the same taxonomy | ||||
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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.