AMANDA KEITH


Address: 2434 S Eason Blvd, Tupelo, MS 38804-6942
Phone: 6626404595

AMANDA KEITH (NPI# 1376164459) 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) 1376164459
Entity Type Individual
Full Name AMANDA KEITH
Practice Address 2434 S Eason Blvd
Tupelo
MS 38804-6942
Practice Telephone 6626404595
Practice Fax Number 6626806416
Mailing Telephone 6626404595
Mailing Fax Number 6626806416
Enumeration Date 2020-04-30
Last Update Date 2020-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 324987 MS Nursing Service Providers

Other Providers AMANDA KEITH

NPI Name Taxonomy Address Enumeration
1326526781 Amanda Keith Social Worker 255 Berry St Apt 3b, Brooklyn, NY 11249-4176 2018-07-29
1346601275 Amanda May Keith Massage Therapist 128 Maple Ln Ne Apt C, Newark, OH 43055-9036 2016-03-20
1457845638 Amanda Keith Registered Nurse 6 North Minnesota Street, New Ulm, MN 56073 2018-06-20
1255822029 Amanda Keith Social Worker 100 Chestnut St, Ste 101, Abilene, TX 79602-1440 2018-05-28
1942661129 Amanda Carol Keith Pharmacist 3710 N State Line Ave, Texarkana, AR 71854-1934 2016-03-15
1689034514 Amanda L Keith Nurse Practitioner 4944 Greensboro Rd, Ridgeway, VA 24148-3390 2016-03-04

Office Location

Street Address 2434 S EASON BLVD
City TUPELO
State MS
Zip Code 38804-6942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508893074 Ross E Collins Jr. Psychiatry & Neurology 2434 S Eason Blvd, Tupelo, MS 38804-6942 2006-06-28
1245831551 Lisa Roberts Registered Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-11-03
1295336519 Kyra Neal Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-11-03
1124635354 Kecia Williams Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-10-01
1144837675 Daniele Nolan Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-29
1639786163 Reagan Bartley Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-29
1033725056 Moesha Banks Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-16
1891301719 Makinley Neighbors Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-16
1073129094 Stephanie Johnson Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-16
1275149197 Hallie Goodson Counselor 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-09-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1134762784 Kimberly J Adams Occupational Therapy Assistant 90 Clark Ave, Tupelo, MS 38804 2019-10-25
1790270924 Megan Guntharp Occupational Therapist 960 Commonwealth Boulevard, Tupelo, MS 38804 2018-06-29
1154867562 Urologic Ambulatory Surgery Center, LLC Clinic/Center 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 2017-01-09
1790235919 Dr Scott Dickinson D.m. D. PC Dentist 3999 N Gloster Street, Tupelo, MS 38804 2016-10-12
1326496621 Angela Estes Occupational Therapist County Road 1279 House#197, Tupelo, MS 38804 2016-05-26
1316300080 Eric Wade Tillotson Family Medicine 1665 South Green Street, Tupelo, MS 38804 2016-03-31
1104238898 Stella M. Johnson Social Worker 2292 Camelot Cir, Tupelo, MS 38804 2014-05-29
1821437351 Lenka Petersen Student in an Organized Health Care Education/Training Program 1665 S Green St., Nmmc, Tupelo, MS 38804 2013-06-18
1083966303 Jessica M Baskett Counselor 398 E Main St, Tupelo, MS 38804 2012-10-10
Find all providers in zip 38804

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316323173 Pamella Nicole Morrison Licensed Practical Nurse 2005 W Main St Ste 205, Tupelo, MS 38801-3214 2015-08-04
1285838276 Ruthilay Pearson Licensed Practical Nurse 114 White Pine Lane, Tupelo, MS 38801-8693 2007-06-13
1447899588 Audrey Mcdaniel Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2020-01-06
1730733023 Lynne Rogers Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-07-25
1689231862 Stephanie Calabro Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-05-23
1538626882 Jennifer Cox Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2019-02-22
1912474735 Princess Merritt Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2018-10-30
1245722693 Kayla Jean Byrd Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2018-06-01
1073960308 Jordan Ward Licensed Practical Nurse 499 Gloster Creek Vlg, Tupelo, MS 38801-4600 2016-05-17
1699122937 Telisa Coggins Licensed Practical Nurse 2434 S Eason Blvd, Tupelo, MS 38804-6942 2016-05-17
Find all providers in TUPELO

Competitor

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City TUPELO
Zip Code 38804

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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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