AMANDA HARRIS (NPI# 1386126878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386126878 |
| Entity Type | Individual |
| Full Name | AMANDA HARRIS |
| Credential | RN |
| Practice Address |
1131 Ionia Ave Nw Grand Rapids MI 49503-1020 |
| Practice Telephone | 6162597900 |
| Practice Fax Number | 6162597909 |
| Mailing Telephone | 6162597900 |
| Mailing Fax Number | 6162597909 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704328431 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270334 | Amanda Dawn Harris | Technician | 1397 Obrion Rd, Duck, WV 25063-8457 | 2020-09-17 |
| 1518572536 | Amanda Colleen Harris | Nurse Practitioner | 4817 W Falcon Ct, Monee, IL 60449-8691 | 2020-09-15 |
| 1083224893 | Amanda Harris | Technician | 2811 Back Rd, Mill Creek, WV 26280-9750 | 2020-08-06 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1811335110 | Amanda Joy Harris | Rehabilitation Practitioner | 1820 Janet Ln, Pahrump, NV 89060-3272 | 2013-06-07 |
| 1417292046 | Amanda Kay Harris | Specialist | 160 E Poplar St Ste A, Fayetteville, AR 72703-2574 | 2012-12-08 |
| 1861759623 | Amanda Harris | Family Medicine | 185 Ocean Ave # 1a, Brooklyn, NY 11225-4763 | 2012-04-18 |
| 1487929386 | Amanda Jean Harris | Day Training, Developmentally Disabled Services | 44438 Se Edgewick Rd, North Bend, WA 98045-8799 | 2012-03-12 |
| 1841520251 | Amanda Harris | Licensed Practical Nurse | 7311 State Highway 5, Saint Johnsville, NY 13452-4203 | 2010-01-06 |
| Street Address |
1131 IONIA AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236900 | Melissa Yvonne Clark | Counselor | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2011-12-14 |
| 1972122182 | Zachary Stepanovich | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-09 |
| 1811526429 | Olivia Hoffmeyer | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-04-06 |
| 1396384426 | Ann Cudney | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2020-01-07 |
| 1346886546 | Kanani Grover | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-11-22 |
| 1992353809 | Nathan Huyck | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-09-04 |
| 1245891217 | Jason Brittain | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-06-21 |
| 1861058273 | Jennifer Wilssens | Student in an Organized Health Care Education/Training Program | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-05-13 |
| 1295399749 | Emily Marie Stark | Social Worker | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2019-04-30 |
| 1235614702 | Glenda Thompson | Specialist | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152262 | Krishanda Marie Mckeown | Registered Nurse | 40 Jefferson Ave Se, Grand Rapids, MI 49503-4304 | 2020-10-22 |
| 1962051359 | Melissa Sue Brusacoram | Registered Nurse | 516 S Pokegama Ave, Grand Rapids, MN 55744-3800 | 2019-09-09 |
| 1518424787 | Laura Katona | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2019-02-25 |
| 1356806210 | Andrea Nicole Witczak | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2019-02-05 |
| 1326518176 | Susan Marie Jarchow | Registered Nurse | 790 Fuller Ave Ne, Grand Rapids, MI 49503-1918 | 2018-12-04 |
| 1124507843 | Monique Kean | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2018-08-13 |
| 1952895047 | Christy Ann Vanhoven | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1164916243 | Dianne Fox | Registered Nurse | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-06-21 |
| 1225521321 | Eric Lund | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-13 |
| 1790278935 | Amanda Stout | Registered Nurse | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2018-06-12 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on AMANDA HARRIS.
| 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.