AMANDA L SHAFER


Address: 3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225
Phone: 4048579575

AMANDA L SHAFER (NPI# 1720580376) 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) 1720580376
Entity Type Individual
Full Name AMANDA L SHAFER
Practice Address 3250 Quick Water Lndg Nw
Kennesaw
GA 30144-4225
Mailing Address 3236 Greenfield Dr
Marietta
GA 30068-3219
Practice Telephone 4048579575
Mailing Telephone 4048579575
Mailing Fax Number 8888574685
Enumeration Date 2018-02-28
Last Update Date 2018-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN225303 GA Physician Assistants & Advanced Practice Nursing Providers

Other Providers AMANDA SHAFER

NPI Name Taxonomy Address Enumeration
1184674749 Amanda Beth Shafer Physician Assistant 2347 Rossville Blvd, Chattanooga, TN 37408-2250 2006-05-12
1700344926 Amanda Shafer Social Worker 1028 Walnut St, Yankton, SD 57078-2910 2019-03-06
1154895043 Amanda Marie Shafer Nurse Practitioner 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 2019-01-14

Office Location

Street Address 3250 QUICK WATER LNDG NW
City KENNESAW
State GA
Zip Code 30144-4225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578122560 Nina Cason Social Worker 3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225 2019-06-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205440054 Physician Assistant Surgical Solutions Surgery 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 2020-08-31
1487149340 Creative Family Care Inc. Social Worker 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 2018-06-24
1033632203 Octavio Andres Tobar Specialist/Technologist 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 2017-07-19
1851829220 Sharon Mcmillan Counselor 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 2017-05-31
1073054680 Metropolitan Health Care Plus Inc Home Health 445 Laurian Way, Kennesaw, GA 30144 2017-03-15
1649627969 Caresouth Hha Holdings of Gainesville, LLC Hospice Care, Community Based 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 2016-05-17
1851745988 Joseph Mulligan Social Worker 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 2016-04-14
1629438601 Youfit Health Clubs Clinic/Center 3895 Cherokee St Suite 100, Kennesaw, GA 30144 2016-03-03
1598156317 Jodie Evans Specialist 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 2015-02-16
1912302134 Sleepmed Therapies, Inc. Durable Medical Equipment & Medical Supplies 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 2014-10-30
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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
1295344257 Janis Rivas Franklin Nurse Practitioner 2030 Cockrell Pointe Nw, Kennesaw, GA 30152-4761 2020-07-27
1902423254 Rebecca Lynn Ramsey Nurse Practitioner 3343 Hampreston Way Nw, Kennesaw, GA 30144-7441 2020-07-02
1609493352 Joy Cheuvront Nurse Practitioner 4110 Pinemist Ln Nw, Kennesaw, GA 30144-6190 2020-06-29
1821647124 Ashley Dover Nurse Practitioner 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 2019-09-09
1952957748 Victoria C Onunekwu Nurse Practitioner 2718 Kaley Ln Nw, Kennesaw, GA 30152-2691 2019-08-16
1417514639 Shyann Monique Smith Nurse Practitioner 300 Chastain Center Blvd Nw, Kennesaw, GA 30144-5580 2019-05-22
1720555741 Charlotte Chintu Nurse Practitioner 221 Tennis Court Ln Nw, Kennesaw, GA 30144-5028 2018-10-29
1427586031 Odiri Akiri Nurse Practitioner 1864 Eveningside Way Nw, Kennesaw, GA 30152-4795 2017-05-25
1104358704 Ruth Ola Osueke Nurse Practitioner 2106 Lindley Ln Nw, Kennesaw, GA 30144-5232 2017-04-01
1124570643 Sophia Robinson-harris Nurse Practitioner 2892 Antonia Pl Nw, Kennesaw, GA 30152-7430 2016-11-01
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Competitor

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City KENNESAW
Zip Code 30144

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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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