AMANDA ERICA BAILEY (NPI# 1477012516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477012516 |
| Entity Type | Individual |
| Full Name | AMANDA ERICA BAILEY |
| Credential | MD |
| Practice Address |
12700 Kornblum Ave Hawthorne CA 90250-4767 |
| Mailing Address |
757 Westwood Plaza Box 951752, 3108 Rrumc Los Angeles CA 90095-1752 |
| Practice Telephone | 3107038212 |
| Mailing Telephone | 3102679132 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043830557 | Amanda Marie Bailey | Case Manager/Care Coordinator | 509 Desert Trl, Yukon, OK 73099-6835 | 2020-04-24 |
| 1134632805 | Amanda Nicole Bailey | Counselor | 19 W Macclenny Ave Ste 111, Macclenny, FL 32063-2086 | 2017-11-15 |
| 1255864732 | Amanda Bailey | Nurse Practitioner | 26 Pecan Cir, Millbrook, AL 36054-4946 | 2017-04-11 |
| 1750837456 | Amanda R Bailey | Internal Medicine | 300 E. Hospital Dr., Fort Gordon, GA 30905 | 2016-09-01 |
| 1013178797 | Amanda K Blockinger Bailey | Pediatrics | 6234 N Greeley Ave, Sellwood Medical Clinic, Portland, OR 97217-5020 | 2008-06-24 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1407480528 | Amanda Bailey | Behavior Technician | 417 Commercial Ct Ste C, Venice, FL 34292-1655 | 2020-02-27 |
| 1417581067 | Amanda Bailey | Counselor | 8767 Carmel Valley Rd, Carmel, CA 93923-7958 | 2020-02-22 |
| 1790252526 | Amanda R Bailey | Rehabilitation Practitioner | 2201 Ironwood Pl, Coeur D Alene, ID 83814-2670 | 2018-10-30 |
| 1124570932 | Amanda Balise Bailey | Nurse Practitioner | 1204 N Vercler Rd, Spokane Valley, WA 99216-1020 | 2016-10-27 |
| Street Address |
12700 KORNBLUM AVE |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-4767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295346930 | Katrina Tessa Hernandez | Student in an Organized Health Care Education/Training Program | 2598 Griffith Ct, Hawthorne, CA 90250-1662 | 2020-08-15 |
| 1801404439 | Olivia Denise Ramirez | Student in an Organized Health Care Education/Training Program | 4925 W 135th St, Hawthorne, CA 90250-5625 | 2020-07-20 |
| 1952834632 | Catherine Stanecki | Student in an Organized Health Care Education/Training Program | 14901 Fonthill Ave, Hawthorne, CA 90250-8429 | 2017-04-09 |
| 1588197487 | Roger Baril | Student in an Organized Health Care Education/Training Program | 12024 Oxford Ave, Hawthorne, CA 90250-3124 | 2017-04-06 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1497042683 | Melvina Chidiuto Akwaja | Student in an Organized Health Care Education/Training Program | 11963 Grevillea Ave Apt F, Hawthorne, CA 90250-2906 | 2011-07-07 |
| 1528224029 | Harbor Ucla Medical Center | Student in an Organized Health Care Education/Training Program | 4012 W 129th St, Apt. #3, Hawthorne, CA 90250-5245 | 2008-08-04 |
| 1568946986 | Berline Borno | Student in an Organized Health Care Education/Training Program | 228 Linda Ave, Hawthorne, NY 10532-2050 | 2018-09-21 |
| 1992289458 | Daniel Pinter | Student in an Organized Health Care Education/Training Program | 500 Linda Ave, Hawthorne, NY 10532-1313 | 2018-09-20 |
| 1821578352 | Trisha Absalom-graham | Student in an Organized Health Care Education/Training Program | 226 Linda Ave, Hawthorne, NY 10532-2018 | 2018-08-15 |
| Find all providers in HAWTHORNE | ||||
Please comment or provide details below to improve the information on AMANDA ERICA BAILEY.
| 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.