AMANDA PACK (NPI# 1609329085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609329085 |
| Entity Type | Individual |
| Full Name | AMANDA PACK |
| Credential | NP |
| Practice Address |
141 Columbus Rd Athens OH 45701-1315 |
| Practice Telephone | 7405924229 |
| Practice Fax Number | 7405924232 |
| Mailing Telephone | 7405924229 |
| Mailing Fax Number | 7405924232 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.019584 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404710 | Amanda Kate Pack | Counselor | 5825 Roderick Dr, Austin, TX 78724-4428 | 2020-07-16 |
| 1124336300 | Amanda Cook Pack | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2010-09-21 |
| Street Address |
141 COLUMBUS RD |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306984620 | Erin C Lucas | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2007-02-01 |
| 1790312049 | Nanang Erma Gunawan | Counselor | 141 Columbus Rd, Athens, OH 45701-1315 | 2020-03-26 |
| 1073148441 | Emilee Hemler | Behavioral Analyst | 141 Columbus Rd, Athens, OH 45701-1315 | 2020-03-06 |
| 1669006276 | Erin Bright | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2020-02-24 |
| 1760014088 | Elizabeth V Pugh | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2020-02-05 |
| 1487299509 | Joy Hysell | Behavioral Analyst | 141 Columbus Rd, Athens, OH 45701-1315 | 2019-11-13 |
| 1396391785 | Nikhita Shah | Social Worker | 141 Columbus Rd, Athens, OH 45701-1315 | 2019-08-13 |
| 1194370510 | Allison Schneider | Behavioral Analyst | 141 Columbus Rd, Athens, OH 45701-1315 | 2019-08-02 |
| 1922665496 | Sierra D Mayle | Speech-Language Pathologist | 141 Columbus Rd, Athens, OH 45701-1315 | 2019-05-21 |
| 1619433380 | Hopewell Health Centers, Inc. | Clinic/Center | 141 Columbus Rd, Athens, OH 45701-1315 | 2019-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1831706449 | Melissa Mason | Nurse Practitioner | 700 Oglethorpe Ave # C7, Athens, GA 30606-2221 | 2020-09-28 |
| 1972117992 | Kei Martin | Nurse Practitioner | 25569 Evergreen Ln, Athens, AL 35613-6162 | 2020-09-08 |
| 1699315192 | Paul Stewart | Nurse Practitioner | 906 Rolling Dr, Athens, TX 75751-2944 | 2020-01-13 |
| 1679118616 | Erica Lyn Prater | Nurse Practitioner | 445 Providence Rd, Athens, GA 30606-1933 | 2019-11-13 |
| 1932758828 | Paula White | Nurse Practitioner | 12 Walcon Ln Apt 2, Athens, TN 37303-3764 | 2019-09-04 |
| 1114574621 | April Lee White | Nurse Practitioner | 3655 Whiteoak Creek Rd, Athens, WV 24712-9628 | 2019-08-20 |
| 1255988937 | Brandi Jones | Nurse Practitioner | 115 Medical Cir Ste 100, Athens, TX 75751-9004 | 2019-08-19 |
| 1467008128 | Erica Denise Long | Nurse Practitioner | 220 S Jackson St, Athens, TN 37303-4713 | 2019-08-16 |
| 1215598131 | Patricia Ann Torres | Nurse Practitioner | 494 Baxter St, Athens, GA 30605-1172 | 2019-06-21 |
| Find all providers in ATHENS | ||||
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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.