MRS. AMANDA KRISTINE ROBERTS (NPI# 1821563677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821563677 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KRISTINE ROBERTS |
| Other Name | AMANDA KRISTINE OBERLE |
| Credential | ATC |
| Practice Address |
1493 Highway 92 Acworth GA 30102 |
| Mailing Address |
244 Derby Ct Acworth GA 30102-1438 |
| Practice Telephone | 7165158296 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT002410 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
| 1033699756 | Amanda Cloressa Roberts | Marriage & Family Therapist | 4712 Carriage Dr, Pittsburgh, PA 15236-1957 | 2018-08-21 |
| 1851704159 | Amanda Roberts | Counselor | 110 S. Commerce Ave, Russellville, AR 72801-5939 | 2014-06-04 |
| 1639239981 | Amanda M Roberts | Registered Nurse | 2310 Waltham Rd, Madison, WI 53711-3972 | 2006-12-09 |
| 1356956239 | Amanda Roberts | Physician Assistant | 489 State St, Bangor, ME 04401-6674 | 2020-09-09 |
| 1881212223 | Amanda Roberts | Nurse Practitioner | 846 Lake Howell Rd, Maitland, FL 32751-5222 | 2020-07-13 |
| 1093363715 | Amanda Roberts | Behavior Technician | 8620 Refuge Point Cir, North Charleston, SC 29420-6879 | 2019-08-27 |
| 1982181079 | Amanda Roberts | Pharmacist | 500 Gallery Blvd, Scarborough, ME 04074-6606 | 2018-07-23 |
| 1821583873 | Amanda Leigh Roberts | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2018-06-22 |
| 1790278091 | Amanda Roberts | Social Worker | 1441 Constitution Blvd, Bldg 400, Suite 202, Salinas, CA 93906 | 2018-06-11 |
| Street Address |
1493 HIGHWAY 92 |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| 1972099737 | Speech Teachers of North Georgia LLC | Clinic/Center | 205 Shaw Dr, Acworth, GA 30102 | 2018-07-05 |
| Find all providers in zip 30102 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730532334 | Joshua Michael Bush | Specialist/Technologist | 685 Braidwood Ter Nw, Acworth, GA 30101-3513 | 2016-07-19 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1487043717 | Bryan Rivera | Specialist/Technologist | 3175 Souffle Ct, Acworth, GA 30101-6232 | 2015-01-09 |
| 1386058683 | Kyle Patrick | Specialist/Technologist | 1122 Regiment Dr Nw, Acworth, GA 30101-8462 | 2014-06-13 |
| 1376767210 | Tina Leah Davis | Specialist/Technologist | 4601 Saddle Gate Ln, Acworth, GA 30101-5286 | 2007-04-12 |
| 1194854612 | Michelle Hernandez Scott | Specialist/Technologist | 42 Moonshadow Way, Acworth, GA 30101-2619 | 2007-03-02 |
| 1780652388 | Ingrid Mary Grutzmacher | Specialist/Technologist | 5718 Fairwood Dr Nw, Acworth, GA 30101-7840 | 2006-03-09 |
| 1982210563 | Vrok Fitness LLC | Specialist/Technologist | 631 Oakside Pl, Acworth, GA 30102-8813 | 2020-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.