AMANDA LEA WILLIS (NPI# 1710106059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710106059 |
| Entity Type | Individual |
| Full Name | AMANDA LEA WILLIS |
| Other Name | AMANDA LEA PRICE |
| Credential | DO |
| Practice Address |
1122 N Topeka St Wichita KS 67214-2810 |
| Mailing Address |
2214 Canterbury Dr Suite 204 Hays KS 67601-2386 |
| Practice Telephone | 3168662000 |
| Practice Fax Number | 3168662084 |
| Mailing Telephone | 7856232360 |
| Mailing Fax Number | 7856232371 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0534830 | KS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | E-6053 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427428192 | Amanda Willis | Physical Therapy Assistant | 3014 W William Cannon Dr Apt 1134, Austin, TX 78745-5025 | 2015-10-06 |
| 1407466923 | Amanda Marie Willis | Counselor | 700 S Main St, Mountain Home, AR 72653-4445 | 2020-08-10 |
| 1750906467 | Amanda L Willis | Psychologist | 6439 Garners Ferry Rd Bldg 106, Columbia, SC 29209-1638 | 2020-06-09 |
| 1114586617 | Amanda Kathryn Willis | Social Worker | 15 N 3rd St Ste 300, Newark, OH 43055-5550 | 2019-06-07 |
| 1013429240 | Amanda Warnecke Willis | Social Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2017-10-27 |
| 1174948780 | Amanda Willis | Occupational Therapist | 1108 Airport Blvd, Suite A, Pensacola, FL 32504-8628 | 2014-02-19 |
| 1952651275 | Amanda Willis | Physical Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2012-09-13 |
| Street Address |
1122 N TOPEKA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-2810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445157 | Kathleen Diane Tyndall | Physician Assistant | 1122 N Topeka St, Wichita, KS 67214-2810 | 2005-05-24 |
| 1124638127 | Adam Lee Coppenbarger | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-08-04 |
| 1902415003 | Tiffany Pinkston | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2020-07-24 |
| 1215415476 | Mehvash S Shahzada | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-07-31 |
| 1720570484 | Rachel Hayes Clark | Dentist | 1122 N Topeka St, Wichita, KS 67214-2810 | 2018-05-30 |
| 1922519669 | Molly Wiwi | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-10-21 |
| 1437697174 | Gracemed Health Clinic, Inc | Pharmacy | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-02-02 |
| 1972049799 | Sheila Adams | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-01-18 |
| 1518317072 | Charis Marie Mccoy | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-06-15 |
| 1891142261 | Sandrine Nkouga | Nurse Practitioner | 1122 N Topeka St, Wichita, KS 67214-2810 | 2016-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239412 | K S Pediatrics LLC | Pediatrics | 6505 E Central Ave Ste 183, Wichita, KS 67206-1924 | 2020-06-11 |
| 1184281131 | Kansas Pediatric Neurology Center LLC | Pediatrics | 10111 E 21st St N Ste 405, Wichita, KS 67206-3508 | 2019-05-24 |
| 1407242241 | Vigilias LLC | Pediatrics | 4704 E Oakland, Wichita, KS 67218-1180 | 2015-04-08 |
| 1639339344 | Tuan Nguyen | Pediatrics | 10100 E Shannon Woods St Ste 108, Wichita, KS 67226-4104 | 2008-06-16 |
| 1659592582 | Jamie Hannah Woo Page | Pediatrics | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2007-05-01 |
| 1508907429 | Lillian Rojo Blue | Pediatrics | 550 N Hillside St Bldg 16th, Ku Wichita Pediatrics, Wichita, KS 67214-4910 | 2007-02-12 |
| 1558454686 | Conrado M Agustin Jr. | Pediatrics | 162 N Hillside St, Wichita, KS 67214-4919 | 2006-10-02 |
| 1790718534 | John G Dupuis | Pediatrics | 14700 W Saint Teresa St Ste 210, Wichita, KS 67235-9601 | 2006-07-07 |
| 1124063755 | J Elizabeth Heflin | Pediatrics | 848 N Saint Francis St Ste 3901, Wichita, KS 67214 | 2006-06-18 |
| 1912950684 | Arun G Kumar | Pediatrics | 162 N Hillside, Wichita, KS 67214 | 2006-05-17 |
| Find all providers in WICHITA | ||||
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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.