AMANDA DEYANIRA SERVOSS


Address: 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501
Phone: 2695537089

AMANDA DEYANIRA SERVOSS (NPI# 1598238909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598238909
Entity Type Individual
Full Name AMANDA DEYANIRA SERVOSS
Credential RN BSN
Practice Address 615 E Crosstown Pkwy
Kalamazoo
MI 49001-2501
Practice Telephone 2695537089
Mailing Telephone 2695537089
Enumeration Date 2019-01-08
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
4704335693 MI Nursing Service Providers

Office Location

Street Address 615 E CROSSTOWN PKWY
City KALAMAZOO
State MI
Zip Code 49001-2501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316976608 Gopal Bedi Psychiatry & Neurology 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2006-07-01
1427668482 Juton Hanks Registered Nurse 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2020-08-05
1629699459 Bailey Marie Wright Social Worker 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2020-05-04
1841838604 Gretchen Anne Lamm Psychologist 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2019-12-11
1528618972 Kimberly Marie Crawford Psychologist 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2019-09-18
1003466376 Chalonda Dwyer Social Worker 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2019-09-18
1144888926 Amelia Lorraine Silkworth Registered Nurse 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2019-06-05
1609333566 Danielle Moorehead Social Worker 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2019-02-27
1689153868 Rebecca Debruyn Counselor 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2018-08-09
1134608318 Valerie Kay Storey Social Worker 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2018-08-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568004372 Tiffany Malory Counselor 2030 Portage St., Kalamazoo, MI 49001 2019-10-14
1770050502 Trevor F Eisaman Chiropractor 1324 S Park St Suite #3, Kalamazoo, MI 49001 2018-10-30
1104318369 Marathon Health LLC Nurse Practitioner 3520 Covington Rd, Kalamazoo, MI 49001 2018-06-04
1407374580 Joel Damian Burnett Counselor 401 Howard St., Kalamazoo, MI 49001 2017-09-08
1538686449 Amber Dawn Beauchamp Counselor 401 S. Howard St., Kalamazoo, MI 49001 2017-08-23
1740645381 Integrated Spine and Pain Center Pllc Durable Medical Equipment & Medical Supplies 1324 S. Park Street, Kalamazoo, MI 49001 2015-12-28
1366825317 Abigail Rose Franklin- Bly Social Worker 1608 Lake St., Kalamazoo, MI 49001 2015-07-08
1194108142 Glenn Pohl Social Worker 1608 Lake Street, Kalamazoo, MI 49001 2015-07-08
1285996850 Aisha Coulson-walters Social Worker 1501 Fulford St, Kalamazoo, MI 49001 2012-06-11
1912279282 Custom Carelink, L.L.C. Home Health 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 2012-02-02
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811416845 Karen Sue Franks Registered Nurse 615 E. Crosstown Parkway, Kalamazoo, MI 49009 2017-09-11
1649760497 Michael Gordon Vliek Registered Nurse 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2018-05-17
1003325895 Shonna Shaneice Smith Registered Nurse 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2017-09-25
1881112142 Lisa Renee Alcaraz Registered Nurse 615 E Crosstown Pkwy, Kalamazoo, MI 49001-2501 2017-09-06
1477001782 Marilyn Cheney Registered Nurse 610 S Burdick St, Kalamazoo, MI 49007-5221 2016-09-15
1861884454 Michael Campbell Registered Nurse 610 S Burdick St, Kalamazoo, MI 49007-5221 2015-02-19
1427449891 Kim Spence Registered Nurse 610 S Burdick St, Kalamazoo, MI 49007-5221 2015-02-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154946705 Ahuva Lakier Registered Nurse 15895 Harden Cir, Southfield, MI 48075-3042 2020-06-09
1891351540 Frederick Patrick Registered Nurse 2864 125th Ave, Allegan, MI 49010-9276 2019-05-17
1801452578 Lolita Curry Registered Nurse 32 East 1200 Telegraph, Pontiac, MI 48341 2019-05-17
1275003113 Cathleen Brooks Registered Nurse 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 2018-12-04
1679041545 Shiba Lashon Nixon Registered Nurse New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 2018-11-08
1780168856 Alison Male Registered Nurse 530 W Oldfield St, Alpena, MI 49707-1810 2018-09-24
1508346800 Colleen Botos Registered Nurse 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 2018-08-16
1083131924 Kristen Lynn Little Registered Nurse 3726 Spruce Run, White Lake, MI 48383-3523 2017-08-22
1396269379 Emily Elisabeth Ann Pawlowski Registered Nurse 12021 Cardwell St, Livonia, MI 48150-2355 2017-08-01
1801318936 Dawn Krieger Registered Nurse Po Box 220, Bellaire, MI 49615-0220 2017-07-11
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Competitor

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City KALAMAZOO
Zip Code 49001

Improve Information

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Dataset Information

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.

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