AMANDA M PENNINGTON (NPI# 1720354319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720354319 |
| Entity Type | Individual |
| Full Name | AMANDA M PENNINGTON |
| Credential | LMT |
| Practice Address |
1409 Kingsley Ave Bldg 3 Orange Park FL 32073-4537 |
| Mailing Address |
1819 Hendricks Ave Suites 2 and 3 Jacksonville FL 32207-3303 |
| Practice Telephone | 9042636222 |
| Mailing Telephone | 9043485511 |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA58965 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891175485 | Amanda Pennington | Case Manager/Care Coordinator | 312 Whittington Pkwy Suite 020, Louisville, KY 40222 | 2015-06-09 |
| 1942866652 | Amanda Pennington | Case Manager/Care Coordinator | 1404 E Church St, Warren, AR 71671 | 2019-05-17 |
| 1033652052 | Amanda Pennington | Behavior Technician | 201 Saint Charles Ave, Suite 2500, New Orleans, LA 70170-1000 | 2016-11-22 |
| 1972913549 | Amanda Renee Pennington | Psychiatry & Neurology | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2014-05-05 |
| 1518259852 | Amanda Pennington | Occupational Therapist | 605 Donnie Ave, Killeen, TX 76541-8918 | 2011-05-04 |
| 1649433202 | Amanda Pennington | Pediatrics | 812 Gorman Ave, Elkins, WV 26241-3181 | 2008-07-03 |
| 1144247099 | Amanda Marie Pennington | Family Medicine | 1656 Riverchase Blvd, Rock Hill, SC 29732-1724 | 2006-07-16 |
| Street Address |
1409 KINGSLEY AVE BLDG 3 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711533 | William V Choisser | Family Medicine | 1409 Kingsley Ave, Ste 14a, Orange Park, FL 32073-4541 | 2005-06-21 |
| 1366989246 | Orange Park Spine Institute LLC | Orthopaedic Surgery | 1409 Kingsley Ave, Suite 1d, Orange Park, FL 32073-4537 | 2017-01-30 |
| 1235682196 | Lyndsey Mccool | Massage Therapist | 1409 Kingsley Ave, Orange Park, FL 32073-4537 | 2016-07-27 |
| 1619341039 | Jacksonville Medical Group, LLC | Internal Medicine | 1409 Kingsley Ave, Suite 9g, Orange Park, FL 32073-4537 | 2015-11-23 |
| 1780071613 | Clay Pulmonary Services Pa | Internal Medicine | 1409 Kingsley Ave, Building 3b, Orange Park, FL 32073-4537 | 2015-04-17 |
| 1982092326 | Periodontal Specialists of North Florida | Dentist | 1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537 | 2015-01-08 |
| 1801297387 | Melodie Miller Arnp Consulting | Nurse Practitioner | 1409 Kingsley Ave, Suite 9e, Orange Park, FL 32073-4537 | 2014-09-15 |
| 1316347693 | Anna-marie Veneracion-yumul, Md, Pa | Psychiatry & Neurology | 1409 Kingsley Ave, Ste 9e, Orange Park, FL 32073-4537 | 2014-08-24 |
| 1922428879 | Modern Periodontics, Pa | Dentist | 1409 Kingsley Ave, Suite 9a, Orange Park, FL 32073-4537 | 2014-04-18 |
| 1932537776 | Live Well Medical Services, LLC | Clinic/Center | 1409 Kingsley Ave, Building 2, Orange Park, FL 32073-4537 | 2013-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481068 | Mariali Alexandra Verdi | Massage Therapist | 1181 Tumbleweed Dr, Orange Park, FL 32065-7428 | 2020-09-12 |
| 1033498159 | Shari Daniela Baldwin | Massage Therapist | 4074 Pebble Brooke Cir N, Orange Park, FL 32065-8204 | 2011-08-07 |
| 1720375645 | Amanda Lane Yoachum | Massage Therapist | 155-8 Blanding Blvd., Orange Park, FL 32073 | 2011-06-29 |
| 1790967867 | Alleyzee, Inc. | Massage Therapist | 1679 Eagle Harbor Pkwy East, Suite C, Orange Park, FL 32003-4816 | 2007-11-30 |
| 1114112034 | Martha Tellez | Massage Therapist | 1241 Blanding Blvd, Orange Park, FL 32065-5906 | 2007-09-13 |
| 1205953551 | Kimberly Strasser D'ambrosio | Massage Therapist | 545 Milwaukee Ave, Orange Park, FL 32073-5539 | 2007-03-23 |
| 1184727596 | Sandra Rae Nelms | Massage Therapist | 4711 Hwy 17 So, Ste 7, Orange Park, FL 32003 | 2006-09-07 |
| 1982707394 | Eleanor D Waldron | Massage Therapist | 4711 Hwy 17 S Fleming Island Plaza, Evelyns Salon & Day Spa Ste 7, Orange Park, FL 32003 | 2006-09-07 |
| 1457301103 | Julie Teahan | Massage Therapist | 2430 Birdwood Dr, Orange Park, FL 32073-5326 | 2006-05-11 |
| 1235682196 | Lyndsey Mccool | Massage Therapist | 1409 Kingsley Ave, Orange Park, FL 32073-4537 | 2016-07-27 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
Please comment or provide details below to improve the information on AMANDA M PENNINGTON.
| 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.