AMANDA K WHITLEY (NPI# 1467070342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467070342 |
| Entity Type | Individual |
| Full Name | AMANDA K WHITLEY |
| Credential | NP |
| Practice Address |
401 Gordon Ave Bristol VA 24201-4106 |
| Practice Telephone | 2767910046 |
| Practice Fax Number | 2766441956 |
| Mailing Telephone | 2767910046 |
| Mailing Fax Number | 2766441956 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024179665 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366740136 | Amanda Penny Whitley | Pharmacist | 518 E Nash St, Louisburg, NC 27549-2460 | 2011-03-03 |
| 1588731640 | Amanda Bradford Whitley | Pharmacist | 17230 Us Highway 17 N, Ste 222, Hampstead, NC 28443-7465 | 2006-11-30 |
| 1588621288 | Amanda Whitley | Occupational Therapist | 1040 Gulf Breeze Pkwy Ste 200, Gulf Breeze, FL 32561-7808 | 2006-04-27 |
| 1780063883 | Amanda Jill Whitley | Speech-Language Pathologist | 2474 E Joyce Blvd Ste 2, Fayetteville, AR 72703-4932 | 2015-05-21 |
| 1386946408 | Amanda Whitley | Day Training/Habilitation Specialist | 1005 Balcom Ln, Trumann, AR 72472-9502 | 2010-11-22 |
| 1104955632 | Amanda Joy Whitley | Family Medicine | 9101 Monroe Rd, Suite 155, Charlotte, NC 28270-2442 | 2007-03-02 |
| 1093843260 | Amanda Beth Thomas Whitley | Social Worker | 2105 Edward Curd Ln, Suite 103, Franklin, TN 37067-5662 | 2007-03-01 |
| Street Address |
401 GORDON AVE |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-4106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881902096 | Diane Marie Costa | Nurse Practitioner | 42 Basswood Dr, Bristol, RI 02809-4912 | 2010-09-22 |
| 1881294486 | Gretchen Holloway | Nurse Practitioner | 41 Brewster Rd, Bristol, CT 06010-5141 | 2020-11-01 |
| 1578924460 | Ana Paula Silva | Nurse Practitioner | 1180 Hope St, Bristol, RI 02809-1126 | 2016-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706597 | Martha Luz Alejandro-bird | Nurse Practitioner | 120 Kings Way Ste &3300, Williamsburg, VA 23185-2505 | 2020-09-28 |
| 1285240648 | Stephanie Williams Hatch | Nurse Practitioner | 304 Homestead Rd, Franklin, VA 23851-1345 | 2020-09-21 |
| 1346852639 | Britteny Nicole Stone-joel | Nurse Practitioner | 614 Rolfe Street, Hampton, VA 23661 | 2020-08-19 |
| 1093324469 | Grace A Odallo | Nurse Practitioner | 3441 Raytee Dr, Chesapeake, VA 23323-1230 | 2020-07-30 |
| 1558989186 | Olivia Brooke Wright | Nurse Practitioner | 2451 Midtown Ave Apt 1317, Alexandria, VA 22303-1437 | 2020-07-09 |
| 1194341792 | Tina Fulcher | Nurse Practitioner | 13300 Burley Ridge Ln, Chester, VA 23831-7119 | 2020-06-19 |
| 1366067373 | Luke Balmer | Nurse Practitioner | 3402 Upper Tillman Way, Powhatan, VA 23139-4349 | 2020-06-15 |
| 1174158539 | Monica Kristine Thompson | Nurse Practitioner | 6340 Miller Dr, Alexandria, VA 22315-3512 | 2020-03-05 |
| 1326670100 | Kristyn Dolores Fox | Nurse Practitioner | 830 Kempsville Rd Ste 2b223, Norfolk, VA 23502-3920 | 2020-02-10 |
| 1962034066 | Meredith Cespedes Soriano | Nurse Practitioner | 42624 Freistadt Sq, Sterling, VA 20166-2610 | 2020-02-06 |
| Find all providers with the same taxonomy | ||||
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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.