MS. AMANDA MAUREEN BROWN (NPI# 1508213042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508213042 |
| Entity Type | Individual |
| Full Name | MS. AMANDA MAUREEN BROWN |
| Credential | PA-C |
| Practice Address |
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900 |
| Mailing Address |
Po Box 1535 Tacoma WA 98401-1535 |
| Practice Telephone | 2537614200 |
| Practice Fax Number | 2537614201 |
| Mailing Telephone | 2537614200 |
| Mailing Fax Number | 2533833553 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60796472 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2088991 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2202 S Cedar St Ste 200, Tacoma, WA 984052318 | 2537614200 | 2537614201 |
| 2502 S Union Ave, Tacoma, WA 984051328 | 2537619482 | 2537596252 |
| 222 15th Ave Se, Puyallup, WA 983723754 | 2538414353 | 2535838630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1922577519 | Amanda Brown | Registered Nurse | 62 Utica St, Clinton, NY 13323-1528 | 2018-11-13 |
| 1316430234 | Amanda Brown | Nurse Practitioner | 222 E Oak Ridge Dr Ste 1200, Hagerstown, MD 21740-7858 | 2018-06-14 |
| 1306348388 | Amanda Ellen Brown | Speech-Language Pathologist | 2500 Rodgers St, Chesapeake, VA 23324-1960 | 2018-03-06 |
| 1023547593 | Amanda Brown | Counselor | 30 Buxton Farm Rd Ste 105, Stamford, CT 06905-1210 | 2017-06-08 |
| 1619412749 | Amanda Brown | Behavioral Analyst | 9845 Seminole Blvd Apt 4, Seminole, FL 33772-2531 | 2016-12-28 |
| 1427408533 | Amanda Brown | Technician, Other | 22176 Arbor Ln, Farmington Hills, MI 48336-5119 | 2016-06-20 |
| 1700254380 | Amanda Savage Brown | Social Worker | 1000 Hart Rd Ste 201, Barrington, IL 60010-2669 | 2015-09-13 |
| 1740674969 | Amanda Lee Brown | Marriage & Family Therapist | 749 Concord Ave, Drexel Hill, PA 19026-2401 | 2015-03-25 |
| Street Address |
1304 FAWCETT AVE STE 100 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746232 | Joon Kyung Song | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2005-11-09 |
| 1487179404 | Trevor Lee Reeves | Physician Assistant | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2017-08-10 |
| 1699228536 | Bridget Ann Lonergan | Registered Nurse | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2016-07-27 |
| 1841658598 | Gensuke Akaike | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2016-02-09 |
| 1437577723 | Daniel Van Roekel | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2014-04-03 |
| 1912325473 | Nicholas Zane Conley | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2014-04-02 |
| 1619395100 | Sandhya Jacob | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2014-04-01 |
| 1285060426 | Christopher James Schaller | Physician Assistant | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 | 2013-09-19 |
| 1841553088 | Mark Aaron Broadbent | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2012-06-22 |
| 1205196607 | Christopher Selby Green | Radiology | 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 | 2012-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1831663442 | Noah C Chance | Physician Assistant | 9040 Jackson Ave Attn:credentials, Tacoma, WA 98431-4604 | 2019-01-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| 1518448539 | Kimberly Bui | Physician Assistant | 112 S 8th St Ste 200, Tacoma, WA 98402-5294 | 2018-08-27 |
| 1568942621 | Michelle Lynn Scott | Physician Assistant | 1201 Pacific Ave Ste C6, Tacoma, WA 98402-4393 | 2018-08-17 |
| 1548770670 | Bradley Richard Poe | Physician Assistant | 209 M.l.k. Jr Way, Tacoma, WA 98405 | 2017-10-03 |
| 1326588369 | Alyssa K. Leaning | Physician Assistant | 1724 W Union Ave Ste 100, Tacoma, WA 98405-2099 | 2017-02-23 |
| 1356609218 | Rebecca Ann Sciandra | Physician Assistant | 9040a Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431-7037 | 2012-04-30 |
| 1023392529 | Kristie Michelle Mattern | Physician Assistant | 5427 S Birmingham St, Tacoma, WA 98409-5417 | 2011-10-03 |
| 1700100385 | Colleen Anne Carette | Physician Assistant | 1500 N. Warner St., #1035, Tacoma, WA 98416-1035 | 2010-03-25 |
| Find all providers in TACOMA | ||||
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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.