AMANDA BUTLER (NPI# 1639578305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639578305 |
| Entity Type | Individual |
| Full Name | AMANDA BUTLER |
| Credential | FNP-C |
| Practice Address |
2200 Highway 155 N Mcdonough GA 30252-4846 |
| Practice Telephone | 6784900341 |
| Practice Fax Number | 6784900349 |
| Mailing Telephone | 6784900341 |
| Mailing Fax Number | 6784900349 |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN155412 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699387134 | Amanda Butler | Marriage & Family Therapist | 9035 S 1300 E Ste 120, Sandy, UT 84094-3192 | 2020-08-17 |
| 1497304752 | Amanda Butler | Social Worker | Chenango County Community Mental Hygiene Services, 5 Court Street, Suite 42 County Office Building, Norwich, NY 13815 | 2019-09-10 |
| 1548812100 | Amanda Rae Butler | Behavioral Analyst | 444 E Huntington Dr Ste 103, Arcadia, CA 91006-6257 | 2019-07-14 |
| 1750883674 | Amanda Butler | Speech-Language Pathologist | 12110 Clayton Rd, Saint Louis, MO 63131-2516 | 2018-03-07 |
| 1508314279 | Amanda E. Butler | Nurse Practitioner | 10350 Haligus Rd Ste 220, Huntley, IL 60142 | 2016-09-12 |
| 1285080168 | Amanda E Butler | Counselor | 827 W Harvard St, Siloam Springs, AR 72761-4013 | 2016-05-10 |
| 1871968099 | Amanda Butler | Registered Nurse | 502 E Race Ave, Searcy, AR 72143-4417 | 2015-12-14 |
| 1467842732 | Amanda H. Butler | Social Worker | 92 Northwoods Blvd, C2, Columbus, OH 43235-4720 | 2015-01-26 |
| 1205245453 | Amanda Butler | Occupational Therapist | 57 Tandberg Trl, Windham, ME 04062-6425 | 2014-08-12 |
| 1861817090 | Amanda Butler | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2014-02-25 |
| Street Address |
2200 HIGHWAY 155 N |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30252-4846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023227030 | Kashif Ahmed | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2007-05-22 |
| 1558900902 | April Gordon | Nurse Practitioner | 2200 Highway 155 N, Mcdonough, GA 30252-4846 | 2020-01-02 |
| 1497222962 | Lyna B Tran | Physician Assistant | 2200 Highway 155 N, Mcdonough, GA 30252-4846 | 2018-11-01 |
| 1154716405 | Priya Gulati Shah | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252 | 2015-04-03 |
| 1306107685 | Ashley Blackmon | Nurse Practitioner | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2012-06-04 |
| 1376838706 | Sabine Hurst | Nurse Practitioner | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2011-06-14 |
| 1053602045 | Tse-hwa Johnson Yin | Internal Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4846 | 2011-04-25 |
| 1073829073 | Eagles Landing Family Practice, LLC | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4806 | 2010-08-27 |
| 1720309057 | Stacy Michael Olliff | Family Medicine | 2200 Highway 155 N, Mcdonough, GA 30252-4846 | 2010-06-22 |
| 1851521140 | Raymond Scott Dickerson | Physician Assistant | 2200 Highway 155 N, Mcdonough, GA 30252 | 2009-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114427 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 3479 Highway 81 East, Mcdonough, GA 30252 | 2020-11-03 |
| 1770143547 | Kevin Kirk Anderson | Physical Therapist | Dr. Kevin Anderson, 196 Lake Dow Rd, Mcdonough, GA 30252 | 2019-06-14 |
| 1912474537 | Atlanta Neuromonitoring, LLC | Psychiatry & Neurology | 922 Highway 81 East # 242, Mcdonough, GA 30252 | 2018-11-01 |
| 1194271320 | Christine Williams Breeden | Registered Nurse | 189 Irwin Drive, Mcdonough, GA 30252 | 2016-08-28 |
| 1518322395 | Jaquita Shorts | Counselor | 1705 Pennslyvania Ave, Mcdonough, GA 30252 | 2015-12-22 |
| 1356758973 | Keisha Candies | Counselor | 125 Zack Hinton Pkwy, Mcdonough, GA 30252 | 2014-07-15 |
| 1093145666 | Ceisha Shador Parks | Counselor | 6040 Winston Trace, Mcdonough, GA 30252 | 2013-11-19 |
| 1588939565 | Tasha E Jones | Counselor | 1509 Bent River Cir, Mcdonough, GA 30252 | 2012-03-09 |
| 1598049447 | Proactive Rehab, Inc | Physical Therapist | 50 Lawrenceville Street, Suite 100, Mcdonough, GA 30252 | 2011-10-10 |
| 1164706131 | Michelle Lee Cone | Pharmacist | 1210 Bent Creek Dr, Mcdonough, GA 30252 | 2011-10-07 |
| Find all providers in zip 30252 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578986 | Marjorie Sewannyana | Nurse Practitioner | 553 Camano Way, Mcdonough, GA 30253-8377 | 2020-11-03 |
| 1568060846 | Crystaline Joi Prothro | Nurse Practitioner | 4085 Springvale Way, Mcdonough, GA 30252-6872 | 2020-10-09 |
| 1790393064 | Nicole L Smith | Nurse Practitioner | 505 Bingham Dr, Mcdonough, GA 30253-8050 | 2020-07-22 |
| 1528676046 | Joseph Ndangoh Fongod | Nurse Practitioner | 1289 Heartwood Ave, Mcdonough, GA 30253-3070 | 2020-07-21 |
| 1881211233 | Adelaida L. Mayeta Peart | Nurse Practitioner | 208 Shelton Dr, Mcdonough, GA 30252-3124 | 2020-07-01 |
| 1619593886 | Heather E Cameron | Nurse Practitioner | 50 Kelly Rd Ste 200, Mcdonough, GA 30253-6097 | 2020-06-23 |
| 1023631157 | Catherine A Nkongho | Nurse Practitioner | 437 Concord Cir, Mcdonough, GA 30253-8001 | 2020-05-23 |
| 1336774876 | Alvin O Mcdonald | Nurse Practitioner | 312 Horsehill St, Mcdonough, GA 30253-4666 | 2020-03-05 |
| 1376178798 | Hannah Lynn Mccall | Nurse Practitioner | 437 Stallsworth Rd, Mcdonough, GA 30252-6140 | 2020-03-05 |
| 1376177295 | Sandy Zachery | Nurse Practitioner | 526 Bentley Way, Mcdonough, GA 30253-3762 | 2020-02-29 |
| Find all providers in MCDONOUGH | ||||
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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.