AMANDA LENORA SPENCER (NPI# 1447891890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447891890 |
| Entity Type | Individual |
| Full Name | AMANDA LENORA SPENCER |
| Credential | RN |
| Practice Address |
6333 E Skelly Dr Tulsa OK 74135-6106 |
| Practice Telephone | 9186644224 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
104398 | OK | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710317748 | Amanda Spencer | Counselor | 59 Heritage Ln, Shelburne, VT 05482-7137 | 2013-11-12 |
| 1124399639 | Amanda Holliday Spencer | Physical Therapist | 621 Spencer Meadow Rd, Asheboro, NC 27205-2542 | 2012-01-16 |
| 1790399160 | Amanda Spencer | Social Worker | 612 E Lamar Blvd, Arlington, TX 76011-4121 | 2020-09-03 |
| 1174004436 | Amanda Spencer | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-08-24 |
| 1538673686 | Amanda Spencer | Counselor | 1800 Community, Clinton, MO 64735-8804 | 2017-11-28 |
| 1407367295 | Amanda Marie Spencer | Pharmacist | 621 S Main St, Du Bois, PA 15801-1413 | 2017-10-19 |
| 1962925784 | Amanda Sharee Spencer | Counselor | 4394 30th St, San Diego, CA 92104-1314 | 2017-07-24 |
| 1821523663 | Amanda Spencer | Physical Therapy Assistant | 142 Bermuda Village Dr, Advance, NC 27006-7867 | 2017-05-01 |
| 1679010706 | Amanda Spencer | Occupational Therapy Assistant | 129 S Pebble Beach Blvd, Suite 102, Sun City Center, FL 33573-5718 | 2017-01-26 |
| 1164805784 | Amanda Bernice Eyges Spencer | Psychologist | 1900 S Mcdowell Blvd, Petaluma, CA 94954-5473 | 2015-07-01 |
| Street Address |
6333 E SKELLY DR |
| City | TULSA |
| State | OK |
| Zip Code | 74135-6106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053317883 | 12 & 12, Inc. | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2005-06-27 |
| 1720685175 | Jesse Misthaven | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-07 |
| 1699372482 | Christine Reynold | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-05 |
| 1679185920 | Kacey Ann Cottrell | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-18 |
| 1861003931 | Matthew Schane | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-12 |
| 1841817368 | Bernadette Bouciquot | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-30 |
| 1568088011 | Brenda Kay Kuntzelman | Licensed Practical Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-21 |
| 1023634698 | Kelli Ann Ordorica | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-19 |
| 1215552120 | Amanda Lindsey Spicer | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-16 |
| 1619592672 | Tieraney Candice Rodriguez | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| 1841817368 | Bernadette Bouciquot | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-30 |
| 1417463597 | Amber Rae Sweet | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2017-12-27 |
| 1902312150 | Shirley Ann Pike | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2017-12-26 |
| 1932524923 | Beverly Lacy | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2014-02-27 |
| 1396171161 | Cindy Lou Jarrett | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-09-24 |
| 1427483015 | Judith Elaine White | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-09-13 |
| 1033544499 | Andrea Leigh Rose | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609098979 | Avery La-mont Williams | Registered Nurse | 3029 Hillside Dr, Del City, OK 73115-1847 | 2007-05-03 |
| 1801310867 | Robin R. Brothers | Registered Nurse | 1010 E 45th St, Shawnee, OK 74804-2202 | 2017-08-01 |
| 1114372737 | Debra Cleary | Registered Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2016-05-02 |
| 1720308414 | Rachell Marie Valadez | Registered Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2010-06-04 |
| 1043539323 | Valorie J Wise | Registered Nurse | 10802 Quail Plaza Dr, Suite 108, Oklahoma City, OK 73120-3116 | 2010-05-26 |
| 1720200058 | William M Wilson | Registered Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2007-05-03 |
| 1609098755 | Linda M Berry | Registered Nurse | 1215 Nw 25th St, Oklahoma City, OK 73106-5629 | 2007-05-02 |
| 1205057924 | Beverly M Love | Registered Nurse | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2007-05-01 |
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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.