AMANDA L GILLENWATER (NPI# 1649744384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649744384 |
| Entity Type | Individual |
| Full Name | AMANDA L GILLENWATER |
| Credential | APRN-CNP |
| Practice Address |
2159 Dogwood Ridge Rd Wheelersburg OH 45694-9044 |
| Mailing Address |
36 Pemberton Cv Jackson TN 38305-5514 |
| Practice Telephone | 7313941145 |
| Mailing Telephone | 7313941145 |
| Mailing Fax Number | 8443740233 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2020-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.454549 | OH | Nursing Service Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APRN.CNP.0027743 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0331807 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Park Ave, Ironton, OH 456381502 | 7405321613 | 7405321715 |
| Street Address |
2159 DOGWOOD RIDGE RD |
| City | WHEELERSBURG |
| State | OH |
| Zip Code | 45694-9044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780672873 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2005-10-12 |
| 1316448103 | Amanda Renee Meeker | Occupational Therapist | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2018-02-27 |
| 1396245783 | Angela F Duhl | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2018-02-13 |
| 1992176606 | Kimberly Lynette Glenn | Nurse Practitioner | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2015-10-08 |
| 1750774725 | Melva Gordon | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2015-03-13 |
| 1902143241 | Nathan Lee Stevens | Registered Nurse | 2159 Dogwood Ridge Rd, Wheelersburg, OH 45694-9044 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| 1477032746 | Elizabeth Lee Johnson | Nurse Practitioner | 11239 Gallia Pike Rd, Wheelersburg, OH 45694 | 2018-08-08 |
| 1215442389 | Wham, LLC | Community/Behavioral Health | 8073 Ohio River Road, Wheelersburg, OH 45694 | 2017-12-11 |
| 1225380306 | Krystal Wynn Knapp | Registered Nurse | 352 Bussey Road, Wheelersburg, OH 45694 | 2012-10-12 |
| 1114275948 | Seth E Harris | Licensed Practical Nurse | 164 Park St, Wheelersburg, OH 45694 | 2012-08-28 |
| 1790972008 | Assisted Living Concepts Inc | Assisted Living Facility | 900 Pirate Drive, Wheelersburg, OH 45694 | 2007-10-01 |
| 1033312376 | Lisa Gay Lancaster | Nurse's Aide | 8065 Bell St, Wheelersburg, OH 45694 | 2007-06-06 |
| 1457560773 | Sharon Kay Tilley | Home Health Aide | 10262 Gallia Pike, Wheelersburg, OH 45694 | 2007-05-22 |
| 1609080415 | Michele Renee Payton | Licensed Practical Nurse | 1200 Cole St., Wheelersburg, OH 45694 | 2007-05-10 |
| 1194879759 | Sarah Jane Riggs | Registered Nurse | 434 Miller Rd, Wheelersburg, OH 45694 | 2007-01-22 |
| Find all providers in zip 45694 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292902 | Karen Cooper | Nurse Practitioner | 730 A Kittle Road, Wheelersburg, OH 45694 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1649879032 | Danielle Wines | Nurse Practitioner | 5933 Sarah Lake Dr, Sylvania, OH 43560-9201 | 2020-10-19 |
| 1659983252 | Michael A. Adams | Nurse Practitioner | 3837 Washington Blvd, University Heights, OH 44118-3158 | 2020-08-17 |
| 1912516709 | Susan Marie Hessey | Nurse Practitioner | 4502 Satinwood Dr, Toledo, OH 43623-3350 | 2020-07-28 |
| 1518585728 | Diane Louise Lamb | Nurse Practitioner | 3163 Hook Waltz Rd E, Elida, OH 45807-9555 | 2020-07-14 |
| 1215553052 | Jennifer Cordray | Nurse Practitioner | 5452 Grace Dr, Mentor, OH 44060-1500 | 2020-06-17 |
| 1053943134 | Chunyan Mcelroy | Nurse Practitioner | 101 Meadowlands Dr Apt D8, Chardon, OH 44024-9379 | 2020-02-06 |
| 1790324432 | Ashley Nicole Neely | Nurse Practitioner | 890 Oakwood Dr, Alliance, OH 44601-5435 | 2019-12-28 |
| 1710530357 | Christine Marie Hoover | Nurse Practitioner | 65 Community Rd Ste C, Tallmadge, OH 44278-2358 | 2019-07-23 |
| 1659939015 | Marcia A. Stephens Aprn LLC | Nurse Practitioner | 7450 Miami Hills Dr, Cincinnati, OH 45243-1814 | 2019-05-31 |
| Find all providers with the same taxonomy | ||||
| City | WHEELERSBURG |
| Zip Code | 45694 |
Please comment or provide details below to improve the information on AMANDA L GILLENWATER.
| 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.