AMANDA HENLEY (NPI# 1366996126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366996126 |
| Entity Type | Individual |
| Full Name | AMANDA HENLEY |
| Credential | LPT |
| Practice Address |
161 N Date St Escondido CA 92025-3405 |
| Mailing Address |
11335 Affinity Ct Unit 161 San Diego CA 92131-2751 |
| Practice Telephone | 7607457786 |
| Practice Fax Number | 7607451061 |
| Mailing Telephone | 8582600406 |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | 35400 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629541990 | Amanda Susan Henley | Nurse Practitioner | 1819 Clinch Ave Ste 200, Knoxville, TN 37916-2435 | 2019-01-09 |
| Street Address |
161 N DATE ST |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-3405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023193216 | Thomas Knutson Md Inc | Orthopaedic Surgery | 161 N Date St, Escondido, CA 92025-3405 | 2006-10-26 |
| 1295351286 | Saray Barrera | Case Manager/Care Coordinator | 161 N Date St, Escondido, CA 92025-3405 | 2020-06-25 |
| 1669096822 | Michele Lynne Barton | Licensed Vocational Nurse | 161 N Date St, Escondido, CA 92025-3405 | 2020-06-03 |
| 1225651920 | Katherine E Macmahon | Counselor | 161 N Date St, Escondido, CA 92025-3405 | 2020-05-28 |
| 1407476989 | Karen Louise Keblawi | Counselor | 161 N Date St, Escondido, CA 92025-3405 | 2020-04-24 |
| 1013536747 | Delienid Heredia | Licensed Vocational Nurse | 161 N Date St, Escondido, CA 92025-3405 | 2020-04-13 |
| 1194356683 | Valerie V Amezquita | Licensed Vocational Nurse | 161 N Date St, Escondido, CA 92025-3405 | 2020-02-03 |
| 1902456361 | Jason Anthony Sicurello | Licensed Vocational Nurse | 161 N Date St, Escondido, CA 92025-3405 | 2019-09-18 |
| 1477115905 | Laura Ann Lambert | Counselor | 161 N Date St, Escondido, CA 92025-3405 | 2019-07-04 |
| 1063976579 | Maria Cristina Delgadillo Reyes | Licensed Vocational Nurse | 161 N Date St, Escondido, CA 92025-3405 | 2019-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.