DR. AMANDA BARTELL (NPI# 1366429862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366429862 |
| Entity Type | Individual |
| Full Name | DR. AMANDA BARTELL |
| Credential | D.P.M. |
| Practice Address |
8825 Perimeter Park Blvd Suite 401 Jacksonville FL 32216-1108 |
| Practice Telephone | 9042365023 |
| Practice Fax Number | 9042161276 |
| Mailing Telephone | 9042365023 |
| Mailing Fax Number | 9042161276 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2009-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P03128 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 65838 | 01 |
| FL | UNITED HEALTHCARE | 2701421 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275827552 | Amanda Bartell | Counselor | 9325 Glades Rd, Suite 208, Boca Raton, FL 33434-3988 | 2011-06-04 |
| Street Address |
8825 PERIMETER PARK BLVD SUITE 401 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780193094 | Mental Health Jax | Clinic/Center | 8825 Perimeter Park Blvd, Jacksonville, FL 32216-1108 | 2017-09-29 |
| 1871038141 | Kopp's Counseling and Consulting Services, Inc. | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-12-22 |
| 1982055505 | Billie Ashley Beech-mavrantzas | Social Worker | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-06-24 |
| 1437515046 | Jamie H. Kopp | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-01-12 |
| 1821359050 | Amanda Lynn Kinney | Dietitian, Registered | 8825 Perimeter Park Blvd, Suite 101, Jacksonville, FL 32216-1108 | 2012-06-05 |
| 1326314543 | Vanness Company, LLC | Home Health | 8825 Perimeter Park Blvd, Suite 501, Jacksonville, FL 32216-1108 | 2012-04-02 |
| 1568755742 | Jamie Holdman Kopp | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2011-05-22 |
| 1720377450 | Vanness Co., LLC | In Home Supportive Care | 8825 Perimeter Park Blvd, Suite 501, Jacksonville, FL 32216-1108 | 2011-04-04 |
| 1396064077 | Kaloni Hepworth | Dietitian, Registered | 8825 Perimeter Park Blvd, Jacksonville, FL 32216-1108 | 2010-05-20 |
| 1952540643 | Kenneth J Hoeck | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2009-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487146890 | First Coast Medical Network LLC | Podiatrist | 2645 Cody Dr, Jacksonville, FL 32223-5585 | 2018-05-31 |
| 1023461480 | Cynthia Correa-cedeno | Podiatrist | 14011 Beach Blvd Ste 220, Jacksonville, FL 32250-1695 | 2016-07-20 |
| 1083029698 | Norshae Robinson | Podiatrist | Total Foot Care and Wellness Clinic, 8613 Old Kings Rd South, Suite 301, Jacksonville, FL 32217-4845 | 2014-06-23 |
| 1457529976 | Earl Horowitz Dpm Pa | Podiatrist | 2236 Park St, Jacksonville, FL 32204-4316 | 2008-02-19 |
| 1992838296 | Howard G Groshell Jr. | Podiatrist | 2236 Park Street, Jacksonville, FL 32204-4316 | 2007-03-14 |
| 1356400642 | Smita Malhotra Dpm Pa | Podiatrist | 4213 Metron Dr, Jacksonville, FL 32216-1012 | 2006-12-06 |
| 1457432387 | Podiatry Associates of Florida Inc | Podiatrist | 5911 Timuquana Rd Unit 300, Jacksonville, FL 32210 | 2006-10-18 |
| 1154432219 | Earl R Horowitz D P M Pa | Podiatrist | 2550 Park St, Jacksonville, FL 32204-4518 | 2006-08-31 |
| 1942319645 | Jeffrey L Burmeister | Podiatrist | 2762 Dunn Ave, Jacksonville, FL 32218-4659 | 2006-08-29 |
| 1306871827 | Theodore Joseph Piano | Podiatrist | 4142 Hanging Moss Ct, Jacksonville, FL 32257-7658 | 2006-07-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. AMANDA BARTELL.
| 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.