DR. AMANDA ROSE CARRYL (NPI# 1417479023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479023 |
| Entity Type | Individual |
| Full Name | DR. AMANDA ROSE CARRYL |
| Other Name | DR. AMANDA ROSE NICHOLLS |
| Credential | DNP, CNM, APRN |
| Practice Address |
15255 Max Leggett Pkwy Ste 4400 Jacksonville FL 32218-7273 |
| Practice Telephone | 9044278898 |
| Practice Fax Number | 9043831893 |
| Mailing Telephone | 9044278898 |
| Mailing Fax Number | 9043831893 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | APRN9384694 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13241 Bartram Park Blvd Unit 1509, Jacksonville, FL 322585231 | 9046800055 | 9045248350 |
| 6410 Beach Blvd, Jacksonville, FL 322162813 | 9044936963 | 9043962464 |
| Street Address |
15255 MAX LEGGETT PKWY STE 4400 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-7273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811324965 | Dalia Philbeck | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2013-10-03 |
| 1578015095 | Katherine Washburn | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2016-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325333 | Gustava Townsend Zimmer | Advanced Practice Midwife | 4203 Belfort Rd Ste 204, Jacksonville, FL 32216-1463 | 2014-04-02 |
| 1346259066 | Bougainvilla T Bailey | Advanced Practice Midwife | 1760 Edgewood Ave., West, Jacksonville, FL 32208 | 2006-08-05 |
| 1891746459 | Lila K Choulat | Advanced Practice Midwife | 1780 W 45th St, Suite 1, Jacksonville, FL 32209-3195 | 2006-05-16 |
| 1851394316 | Janis K Cox | Advanced Practice Midwife | 250 Memorial Dr, Jacksonville, NC 28546-6332 | 2005-05-27 |
| 1023634003 | Jamie Leann Neal | Advanced Practice Midwife | 11945 San Jose Blvd Ste 400, Jacksonville, FL 32223-1627 | 2020-06-24 |
| 1003393166 | Whitney A Rapp | Advanced Practice Midwife | 655 W 8th St, Jacksonville, FL 32209-6511 | 2018-07-23 |
| 1578015095 | Katherine Washburn | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2016-11-01 |
| 1265820757 | Kim Faust | Advanced Practice Midwife | 6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2015-01-06 |
| 1477969442 | Catalina Maria Valencia | Advanced Practice Midwife | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2014-07-10 |
| 1700224680 | Melissa Gage Kremser | Advanced Practice Midwife | 6817 Southpoint Pkwy, Suite 2204, Jacksonville, FL 32216-6282 | 2013-06-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
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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.