AMANDA GATLING


Address: 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420
Phone: 7034432000

AMANDA GATLING (NPI# 1639799497) 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) 1639799497
Entity Type Individual
Full Name AMANDA GATLING
Credential NP
Practice Address 163 Fort Evans Rd Ne
Leesburg
VA 20176-4420
Practice Telephone 7034432000
Enumeration Date 2020-04-22
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024179505 VA Physician Assistants & Advanced Practice Nursing Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
163 Fort Evans Rd Ne, Leesburg, VA 201764420

Office Location

Street Address 163 FORT EVANS RD NE
City LEESBURG
State VA
Zip Code 20176-4420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205862588 Suneetha Devi Jagarlamudi Family Medicine 163 Fort Evans Rd Ne, Loudoun Community Health Center, Leesburg, VA 20176-4420 2006-06-25
1497388227 Judith Ann Hampson Dental Hygienist 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2020-02-20
1750912242 Miguel Martinez Social Worker 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2020-02-03
1407409188 Meagan Ulrich Nurse Practitioner 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2019-07-22
1295396018 Mary Jo Delahunt Dental Hygienist 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2019-06-24
1275090912 Denisse Alejandra Castillo Pediatrics 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2019-03-01
1104382142 Jane Thompson Slomski Social Worker 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2019-02-14
1407330681 Maria A Bogdanova Physician Assistant 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2018-09-24
1316427768 Nancy Elisabeth Kirk Social Worker 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2018-08-15
1871070177 Hideki Seto Dentist 163 Fort Evans Rd Ne, Leesburg, VA 20176-4420 2018-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801416094 Tia Tenease Barriner Nurse Practitioner 1626 Sterns Dr, Leesburg, FL 34748-2019 2020-04-17
1679102818 Heather Georgiana Pickle Nurse Practitioner 172 Fowler Dr, Leesburg, GA 31763-5012 2020-04-08
1952940876 Brittany Breen Nurse Practitioner 44055 Riverside Pkwy Ste 100, Leesburg, VA 20176-5155 2019-12-23
1245871128 Shayna Johnson Nurse Practitioner 33825 Secret Hill Dr, Leesburg, FL 34788-3845 2019-10-02
1144785882 Dharma Deekshita Lakshman Rao Nurse Practitioner 5819 Windsong Oak Dr, Leesburg, FL 34748-3474 2019-02-06
1821553827 Angela L Tatro Nurse Practitioner 27637 Us Highway 27, Leesburg, FL 34748-9033 2019-02-04
1265996516 Monica Cherise Jenkins Nurse Practitioner 2113 Griffin Rd, Leesburg, FL 34748-3303 2019-01-30
1780154708 Orlandria Michelle Bennett-reed Nurse Practitioner 129 Oakland Pkwy, Leesburg, GA 31763-7201 2018-12-03
1902375694 Erica Shackelford Nurse Practitioner 540 Fort Evans Rd Ste 204, Leesburg, VA 20176-3379 2018-11-26
1851888242 Shaneidra Hayes Nurse Practitioner 115 Pelham Dr, Leesburg, GA 31763-4913 2018-04-20
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Competitor

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City LEESBURG
Zip Code 20176

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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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