AMANDA LYNN HOLLOWAY (NPI# 1447784848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447784848 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN HOLLOWAY |
| Practice Address |
130 Hartford Rd Manchester CT 06040-5921 |
| Mailing Address |
Po Box 3630 Flagstaff AZ 86003-3630 |
| Practice Telephone | 8605334679 |
| Mailing Telephone | 9285229879 |
| Mailing Fax Number | 9285229880 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 008289 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 009528503 | LA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985301 | Amanda Holloway | Specialist/Technologist, Other | 364 New Braintree Rd, Oakham, MA 01068-9792 | 2020-03-01 |
| 1649636028 | Amanda Natasha Holloway | Nurse Practitioner | 115 Lariat Court, Stephens City, VA 22655 | 2016-01-14 |
| 1053943662 | Amanda Nicole Holloway | Behavior Technician | 4181 Sw High Meadows Ave, Palm City, FL 34990-3725 | 2020-02-11 |
| 1700438280 | Amanda Holloway | Pharmacist | 700 19th St S, Birmingham, AL 35233-1927 | 2019-07-15 |
| 1487181640 | Amanda Holloway | Occupational Therapy Assistant | 250 N Bethlehem Pike, Ambler, PA 19002-3524 | 2017-05-18 |
| 1053847855 | Amanda Rae Holloway | Pediatrics | 1 Lower Navy Hill Road, Saipan, MP 96950 | 2017-05-11 |
| 1114385598 | Amanda Holloway | Counselor | 150 Medical Way, Riverdale, GA 30274-2533 | 2016-02-01 |
| 1164714473 | Amanda Holloway | Psychiatry & Neurology | 50 Irving St Nw, Mental Health, Washington, DC 20422-0001 | 2011-05-04 |
| Street Address |
130 HARTFORD RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061965 | Swathanthra Kumar Melekote | Pediatrics | 130 Hartford Rd, Manchester, CT 06040-5921 | 2005-08-23 |
| 1588287999 | Camillo Ferrari | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-20 |
| 1457973299 | Joseph Michael Ryan | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-14 |
| 1629690532 | Ryan Reinken | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-13 |
| 1508487190 | Asma Afridi | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-05 |
| 1831710532 | Fatima Noor Akmal | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-04 |
| 1528689387 | Nicholas John Saba | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-04 |
| 1093336901 | Nima Eypakchi Azimi | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2020-05-01 |
| 1003479205 | Roger Lu | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2019-04-15 |
| 1992268569 | Tahir Mohammad Chaudhry | Student in an Organized Health Care Education/Training Program | 130 Hartford Rd, Manchester, CT 06040-5921 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.