AMANDA KATE PACK (NPI# 1801404710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801404710 |
Entity Type | Individual |
Full Name | AMANDA KATE PACK |
Practice Address |
5825 Roderick Dr Austin TX 78724-4428 |
Practice Telephone | 5125347523 |
Mailing Telephone | 5125347523 |
Enumeration Date | 2020-07-16 |
Last Update Date | 2020-07-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609329085 | Amanda Pack | Nurse Practitioner | 141 Columbus Rd, Athens, OH 45701-1315 | 2016-08-02 |
1124336300 | Amanda Cook Pack | Behavioral Analyst | 2206 Executive Park Dr, Opelika, AL 36801-6062 | 2010-09-21 |
Street Address |
5825 RODERICK DR |
City | AUSTIN |
State | TX |
Zip Code | 78724-4428 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164901781 | Brittany Mays | Social Worker | 5410 King Henry Dr, Austin, Austin, TX 78724 | 2018-08-14 |
1790174852 | Dane Deciero | Social Worker | 8509 Fm 969, Building 627, C/o Kipp Austin College Prep, Austin, TX 78724 | 2015-01-13 |
1194047209 | Beena Benny | Counselor | 7309 Lazy Creek Dr, Austin, TX 78724 | 2010-02-17 |
1285726075 | Beverly Jeannine Veltman | Physical Therapist | 6005 Gilbert Rd, Patient Homes, Austin, TX 78724 | 2006-09-29 |
1770594764 | Belda Zamora | Family Medicine | 2100 E 6th St, Suite B, Austin, TX 78724 | 2006-08-11 |
1184709602 | Oakcrest Manor Nursing Home LLC | Nursing Facility/Intermediate Care Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2006-10-25 |
1912359407 | Oakcrest Operating LLC | Skilled Nursing Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2016-07-07 |
1790264174 | Kamilah Corinne Silas | Licensed Vocational Nurse | 8712 Old Manor Rd Apt 2201, Austin, TX 78724-1832 | 2018-08-07 |
1750743050 | Justin Rueckert | Student in an Organized Health Care Education/Training Program | 7723 Springdale Rd, Austin, TX 78724-2200 | 2016-03-25 |
1669099917 | Kendall Crowns | Pathology | 7723 Springdale Rd, Austin, TX 78724-2200 | 2020-07-02 |
Find all providers in zip 78724 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457951675 | Caitlin R Battell | Counselor | 12805 Hughes St, Austin, TX 78732-1833 | 2020-10-27 |
1316546187 | Cathi Heare | Counselor | 1502 Ranch Road 620, Austin, TX 78734-7873 | 2020-10-22 |
1104425214 | Paul Lewis Duffy | Counselor | Counseling Services, 1625 Rutherford Ln., Austin, TX 78754 | 2020-10-20 |
1366040958 | Grace Wood | Counselor | 1621 E 6th St Apt 2212, Austin, TX 78702-3327 | 2020-10-15 |
1871191379 | Alexis Losch | Counselor | 13740 Research Blvd Ste L5, Austin, TX 78750-1833 | 2020-10-15 |
1518573880 | Brenda Lee Rodriguez | Counselor | 11001 S 1st St Apt 225, Austin, TX 78748-6765 | 2020-09-21 |
1174139794 | Julie Jackson | Counselor | 8208 Farmington Ct, Austin, TX 78736-1744 | 2020-09-18 |
1780290494 | Britney Juliane Watson | Counselor | 10701 S Interstate 35 Apt 113, Austin, TX 78747-1777 | 2020-09-17 |
1154936235 | David Barrett | Counselor | 2525 Wallingwood Dr Ste 216, Austin, TX 78746-6900 | 2020-09-15 |
1669084943 | Lutheran Social Services of The South, Inc. | Counselor | 10601 Derecho Drive, Austin, TX 78737-1013 | 2020-08-19 |
Find all providers in AUSTIN |
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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.