MRS. AMANDA KAY KIDDEY (NPI# 1568000438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568000438 |
Entity Type | Individual |
Full Name | MRS. AMANDA KAY KIDDEY |
Credential | PMHNP-BC, APRN |
Practice Address |
2221 Hayes Ave Fremont OH 43420-2632 |
Mailing Address |
180 Saint Thomas Dr Fremont OH 43420-9293 |
Practice Telephone | 4193348943 |
Mailing Telephone | 4195591223 |
Enumeration Date | 2019-12-11 |
Last Update Date | 2019-12-11 |
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 |
APRN.CNP.026067 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2221 HAYES AVE |
City | FREMONT |
State | OH |
Zip Code | 43420-2632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780683573 | Community and Rural Health Services | Clinic/Center | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2005-07-14 |
1649893181 | Samantha Lindsey | Dentist | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2020-05-19 |
1417441429 | Andrew Michael Mccormick | Dentist | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2018-06-22 |
1184114852 | Courtney Renee Greenwood | Dentist | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2018-05-17 |
1588174353 | Sukhpal Singh | Dentist | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2017-10-06 |
1467804559 | Sheri Clouse | Nurse Practitioner | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2016-07-13 |
1003284076 | Mani Khorsand Askari | Internal Medicine | 2221 Hayes Ave, Fremont, OH 43420 | 2015-09-08 |
1083020960 | Kriti Arora | Family Medicine | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2014-07-11 |
1346677838 | Diana L Orns-grant | Social Worker | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2013-09-30 |
1669681870 | Community and Rural Health Services, Inc. | Clinic/Center | 2221 Hayes Ave, Fremont, OH 43420-2632 | 2007-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225596570 | Trisha D Hamm | Nurse Practitioner | Walk In Urgent Care, 2180 Sean Dr., #6b, Fremont, OH 43420 | 2019-03-06 |
1558886051 | Kortney Blair Potridge | Homemaker | 1718 Buckland Avenue, Fremont, OH 43420 | 2017-08-07 |
1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
1033574587 | Alyssa Dickman | Physical Therapy Assistant | 1310 Chestnut St, Fremont, OH 43420 | 2015-12-29 |
1437566734 | Michael Allen Koebel | Registered Nurse | 1728 Oak Harbor Rd, Fremont, OH 43420 | 2014-07-18 |
1598183774 | Harry D. Burger | Dentist | 567 Bartson Rd., Fremont, OH 43420 | 2014-04-03 |
1750706636 | Lori Fisher | Registered Nurse | 500 W. State St., Suite A, Fremont, OH 43420 | 2014-02-28 |
1699113001 | Cora Renea Minich | Massage Therapist | 510 Court Street, Fremont, OH 43420 | 2013-06-07 |
1477850071 | Parschauer Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 126 S. Front St, Fremont, OH 43420 | 2011-02-16 |
1316260839 | Marla D Carlisle | Physician Assistant | 605 Third Avenue, Suite B, Fremont, OH 43420 | 2010-03-11 |
Find all providers in zip 43420 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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1982910485 | Denine A. Baldor | Nurse Practitioner | 39199 Liberty St., Fremont, CA 94538 | 2010-08-23 |
1659468213 | Kimberly K Camp-grimit | Nurse Practitioner | 680 E Fremont Medical Park Dr Ste 300, Fremont, NE 68025-2309 | 2006-10-06 |
1518577980 | Madison Lange | Nurse Practitioner | 710 Cleveland Ave, Fremont, OH 43420-3224 | 2020-07-31 |
1265078778 | Harman Randhawa | Nurse Practitioner | 39159 Paseo Padre Pkwy, Fremont, CA 94538-1608 | 2019-11-19 |
1407938483 | Paul Michael Navarro | Nurse Practitioner | 39400 Paseo Padre Pkwy, Fremont, CA 94538 | 2006-10-19 |
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1770184707 | Joanna Sue Tricaso-torrence | Nurse Practitioner | 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 | 2020-11-05 |
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1255939054 | Jessica Kincaid | Nurse Practitioner | 3921 Clareridge Dr Unit B, Toledo, OH 43623-3380 | 2020-10-14 |
1801493531 | Kasey Zink | Nurse Practitioner | 5934 Creek Rd Se, Washington Court House, OH 43160-8778 | 2020-10-06 |
1861099806 | Taylor Buck | Nurse Practitioner | 158 Rock Creek Dr, Delaware, OH 43015-2260 | 2020-10-02 |
1598371296 | Peace of Mind Therapeutics LLC | Nurse Practitioner | 5170 Pebble Brook Dr, Englewood, OH 45322-3632 | 2020-09-17 |
1003421827 | Rachel Bird | Nurse Practitioner | 2900 Presidential Dr Ste 100, Beavercreek, OH 45324-6502 | 2020-09-09 |
1740894880 | Angel M Davis | Nurse Practitioner | 11210 Navajo Ln Apt 203, Parma Heights, OH 44130-9045 | 2020-09-05 |
1548873680 | Nicollette Pizzoferrato | Nurse Practitioner | 600 W Goodale St Apt 261, Columbus, OH 43215-1904 | 2020-08-28 |
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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.