AMANDA BERNADETTE REARDON (NPI# 1730670332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730670332 |
| Entity Type | Individual |
| Full Name | AMANDA BERNADETTE REARDON |
| Practice Address |
925 Chestnut St Fl 5 Philadelphia PA 19107-4206 |
| Mailing Address |
211 Hurffville Rd Sewell NJ 08080-9416 |
| Practice Telephone | 8003219999 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN590249 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
925 CHESTNUT ST FL 5 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19107-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822337 | John Joseph Pell | Orthopaedic Surgery | 925 Chestnut St Fl 5, Rothman Institute, Philadelphia, PA 19107-4206 | 2005-06-22 |
| 1669086872 | Rothman Orthopaedics of Florida | Family Medicine | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-09-04 |
| 1427687185 | Benjamin Read Campbell | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-04-05 |
| 1386273019 | Ariana Alexis Reyes | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-04-04 |
| 1487283222 | William L. Johns Jr. | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-04-03 |
| 1629607411 | Karan Goswami | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-04-03 |
| 1659902021 | Amir Reza Kachooei | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2020-02-04 |
| 1114583200 | Matthew Brody | Physical Therapist | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2019-05-14 |
| 1760047096 | Tristan Blase Fried | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2019-05-02 |
| 1417510678 | Bryson Kemler | Student in an Organized Health Care Education/Training Program | 925 Chestnut St Fl 5, Philadelphia, PA 19107-4206 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
| 1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
| 1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
| 1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
| 1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
| 1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
| 1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
| 1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
| Find all providers in zip 19107 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19107 |
Please comment or provide details below to improve the information on AMANDA BERNADETTE REARDON.
| 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.