AMANDA STARKS


Address: 1614 25th St, Bedford, IN 47421-5000
Phone: 8122770118

AMANDA STARKS (NPI# 1376867598) 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) 1376867598
Entity Type Individual
Full Name AMANDA STARKS
Credential CPNP
Practice Address 1614 25th St
Bedford
IN 47421-5000
Mailing Address Po Box 1329
Bloomington
IN 47402-1329
Practice Telephone 8122770118
Practice Fax Number 8122770127
Enumeration Date 2010-03-17
Last Update Date 2016-03-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
71003206A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200975950 05

Office Location

Street Address 1614 25TH ST
City BEDFORD
State IN
Zip Code 47421-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598762528 George W Sorrells Jr. Pediatrics 1614 25th St, Bedford, IN 47421-5000 2005-07-05
1083273825 Cathern Amanda Pruett Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2019-06-06
1710544093 Alisha Renee Stiles Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2019-05-22
1639691744 Wyncel Joy Chan Pediatrics 1614 25th St, Bedford, IN 47421-5000 2017-07-10
1952785966 Alexandra Freeman Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2015-07-20
1023457637 Jamie R Bohnke Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2013-06-17
1154665313 Rachael E Mullis Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2012-11-12
1295097913 Kevin A Jones Pediatrics 1614 25th St, Bedford, IN 47421-5000 2012-06-08
1699060616 Gregory Ervie Hanson Pediatrics 1614 25th St, Bedford, IN 47421-5000 2011-06-17
1215266739 Pandu Ranga Sridhar Pediatrics 1614 25th St, Bedford, IN 47421-5000 2009-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114406303 Leana Michelle Massimini Speech-Language Pathologist 3710 Kenneth Simpson Ln, Bedford, IN 47421 2018-08-09
1497246888 Sara Lehr Corry Counselor 2325 Q St., Bedford, IN 47421 2018-05-22
1760737274 Lisa Lynne Autry Social Worker 2125 16th Street, Bedford, IN 47421 2012-07-20
1285998153 Reid Clipp Crosby Obstetrics & Gynecology 118woodhill Dr, Bedford, IN 47421 2012-06-26
1730453184 Fields Chiropractic Inc Chiropractor 2418 W 16th St, Bedford, IN 47421 2012-03-02
1639461783 Lori Wininger Physical Therapy Assistant 2137 16th Street, Bedford, IN 47421 2011-05-09
1871743716 Union Optical and Eyecare Center, Inc. Optometrist 3343 Michael Ave, Bedford, IN 47421 2008-09-29
1326207176 Ross Wright Surgery 179 Shawswick Road, Bedford, IN 47421 2008-06-06
1336320563 The Health and Hospital Corporation of Marion County Skilled Nursing Facility 1510 Clinic Dr, Bedford, IN 47421 2007-11-15
1306031992 Assisted Living Concepts Inc Assisted Living Facility 3008 Shawnee Drive, South Bedford, IN 47421 2007-09-07
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770114027 Eileen Marie Hickey Nurse Practitioner 29 Webber Ave, Bedford, MA 01730-2212 2020-01-27
1841799376 Julia Michelle Mckellar Nurse Practitioner 2213 Martin Dr, Bedford, TX 76021-6245 2018-02-11
1083273825 Cathern Amanda Pruett Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2019-06-06
1710544093 Alisha Renee Stiles Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2019-05-22
1952785966 Alexandra Freeman Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2015-07-20
1023457637 Jamie R Bohnke Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2013-06-17
1154665313 Rachael E Mullis Nurse Practitioner 1614 25th St, Bedford, IN 47421-5000 2012-11-12
1598052201 Patricia L Archilles Nurse Practitioner 2716 Tibbets Dr, Bedford, TX 76022-6915 2011-07-01
1407051436 Allison L Townley Nurse Practitioner 2716 Tibbets Dr, Bedford, TX 76022-6915 2007-06-19
1679635882 Mary H Levenstein Nurse Practitioner 41 North Rd, Suite 202, Bedford, MA 01730-1037 2006-12-14
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Competitor

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City BEDFORD
Zip Code 47421

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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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