MRS. AMANDA MEDLEY (NPI# 1538620356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538620356 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA MEDLEY |
| Credential | APRN |
| Practice Address |
151 Drexler Cir Elizabethtown KY 42701-7843 |
| Mailing Address |
4776 Bacon Creek Rd Elizabethtown KY 42701-5325 |
| Practice Telephone | 2705062730 |
| Mailing Telephone | 5027627596 |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3013251 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
151 DREXLER CIR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-7843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357774 | Ingrid Medley | Nurse Practitioner | 151 Drexler Cir, Ste 1, Elizabethtown, KY 42701-7843 | 2006-05-25 |
| 1760914139 | Sarah Young | Social Worker | 151 Drexler Cir, Elizabethtown, KY 42701-7843 | 2017-04-03 |
| 1669914677 | Linda Sue Mccool | Nurse Practitioner | 151 Drexler Cir, Elizabethtown, KY 42701-7843 | 2016-11-08 |
| 1417346420 | Deborah E Jones | Social Worker | 151 Drexler Cir, Suite 1, Elizabethtown, KY 42701-7843 | 2015-01-14 |
| 1063850444 | Tracy R Duvall | Counselor | 151 Drexler Cir, Elizabethtown, KY 42701 | 2013-06-07 |
| 1033366638 | Rebecca Chambers | Counselor | 151 Drexler Cir, Elizabethtown, KY 42701-7843 | 2008-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792441 | Behavioral Health Plus Pllc | Nurse Practitioner | 110 Chase Way Ste 3, Elizabethtown, KY 42701-7827 | 2019-04-15 |
| 1487168936 | Aigne Mental Wellness | Nurse Practitioner | 2608 Ring Rd Ste 107, Elizabethtown, KY 42701-7945 | 2017-11-20 |
| 1134663925 | Advanced Behavioral Health, Pllc | Nurse Practitioner | 110 Helm Street, Elizabethtown, KY 42701-1496 | 2016-12-13 |
| 1659401461 | Jeffrey Prater | Nurse Practitioner | 110 Helm St, Elizabethtown, KY 42701 | 2007-03-07 |
| 1952357774 | Ingrid Medley | Nurse Practitioner | 151 Drexler Cir, Ste 1, Elizabethtown, KY 42701-7843 | 2006-05-25 |
| 1841259272 | Regina Lynn Woods | Nurse Practitioner | 2608 Ring Rd Ste B107, Elizabethtown, KY 42701 | 2006-03-23 |
| 1720688005 | Kevin Luke Houser | Nurse Practitioner | 120 Helmwood Plaza Dr Ste 103, Elizabethtown, KY 42701-3459 | 2020-10-27 |
| 1548868268 | Cheri Michelle Frederick | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-10-14 |
| 1558976803 | Kristen Howell | Nurse Practitioner | 2000 Ring Rd, Elizabethtown, KY 42701-9454 | 2020-09-14 |
| 1457992570 | Marinda Moore Schneider | Nurse Practitioner | 1239 Woodland Dr, Elizabethtown, KY 42701-2770 | 2019-09-30 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on MRS. AMANDA MEDLEY.
| 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.