AMANDA VICKNAIR (NPI# 1891243788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891243788 |
| Entity Type | Individual |
| Full Name | AMANDA VICKNAIR |
| Credential | APRN, NP-C |
| Practice Address |
2910 Morgan Rd Bessemer AL 35022-6484 |
| Practice Telephone | 2055583484 |
| Practice Fax Number | 2059302158 |
| Mailing Telephone | 2055583484 |
| Mailing Fax Number | 2059302158 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1-148942 | AL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3010695 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 W Hillsboro Blvd, Suite 110, Deerfield Beach, FL 334411609 | 3344755566 |
| Street Address |
2910 MORGAN RD |
| City | BESSEMER |
| State | AL |
| Zip Code | 35022-6484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306941885 | Stacy P Crook | Pharmacist | 2910 Morgan Rd, Ste 128, Bessemer, AL 35022 | 2006-09-13 |
| 1013523810 | Olivia Shavon Walker | Physical Therapist | 2910 Morgan Rd, Bessemer, AL 35022-6484 | 2020-09-17 |
| 1821609694 | John Mason Phillips II | Physical Therapist | 2910 Morgan Rd, Bessemer, AL 35022-6484 | 2020-08-13 |
| 1639521339 | Carie N Tucker | Nurse Practitioner | 2910 Morgan Rd, Bessemer, AL 35022-6484 | 2016-07-06 |
| 1821488677 | Ashley Rosser | Pharmacist | 2910 Morgan Rd, Suite 128, Bessemer, AL 35022-6484 | 2015-02-02 |
| 1154753713 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2910 Morgan Rd, Suite 110, Bessemer, AL 35022-6484 | 2013-08-06 |
| 1952674756 | Rebecca B Golden | Physical Therapist | 2910 Morgan Rd, Suite 110, Bessemer, AL 35022-6484 | 2012-02-10 |
| 1659651289 | Caitlin Mcdonald | Pharmacist | 2910 Morgan Rd, Bessemer, AL 35022-6484 | 2011-08-26 |
| 1851605836 | Drayer Physical Therapy Institute LLC | Physical Therapist | 2910 Morgan Rd, Suite 110, Bessemer, AL 35022-6484 | 2010-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962905034 | Bass Assertive Solutions & Support, LLC | Social Worker | 439 Sunbelt Drive, Bessemer, AL 35022 | 2018-03-14 |
| 1326565383 | Shani Amal Wilson | Nurse Practitioner | 4971 South Shades Crest Road, Helena, AL 35022 | 2017-08-29 |
| 1881031367 | Jason Lee Clemons | Family Medicine | 2910 Morgan Rd Ste 100, Bessemer, AL 35022 | 2013-05-24 |
| 1700123445 | West Alabama Therapy | Contractor | 3985 Park Wood Road, Suite 109 #148, Bessemer, AL 35022 | 2013-01-15 |
| 1922363662 | Casey Hicks | Family Medicine | 1088 9th Ave St, Bessemer, AL 35022 | 2012-07-09 |
| 1528353992 | Andrew Posey | Family Medicine | 1088 9th Ave Sw Ste 106, Bessemer, AL 35022 | 2011-06-14 |
| 1386808517 | Caron Givhan Griffin | Social Worker | 975 9th Ave. S.w., Suite 400, Bessemer, AL 35022 | 2008-07-16 |
| 1366612046 | Leigh Ann Lawrence Clanton | Nurse Practitioner | 6285 Park South Drive, Bessemer, AL 35022 | 2008-03-10 |
| 1407061906 | Anne K Penhale | Audiologist | 985 Ninth Avenue S W, Suite 308, Bessemer, AL 35022 | 2007-05-10 |
| 1033270210 | Teresa Newsome Bondurant | Psychologist | 985 9th Ave Southwest, Suite 201 Pob, Bessemer, AL 35022 | 2006-12-12 |
| Find all providers in zip 35022 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922512698 | Paula P. Mccovery | Nurse Practitioner | 4048 Magnolia St, Bessemer, AL 35022-4582 | 2017-11-16 |
| 1366612046 | Leigh Ann Lawrence Clanton | Nurse Practitioner | 6285 Park South Drive, Bessemer, AL 35022 | 2008-03-10 |
| 1841762739 | Lauren Windsor | Nurse Practitioner | 727 Memorial Dr, Bessemer, AL 35022-6029 | 2018-12-18 |
| 1013483734 | Irene Mutembei | Nurse Practitioner | 325 Selma Rd, Bessemer, AL 35020 | 2018-10-19 |
| 1235633009 | Lauren Elizabeth Hall | Nurse Practitioner | 727 Memorial Dr, Bessemer, AL 35022-6029 | 2018-03-19 |
| 1306359260 | Sarah Smythe Pugliese | Nurse Practitioner | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2017-11-14 |
| 1003334665 | Jeremy L. Clark | Nurse Practitioner | 985 9th Ave Sw Ste 307, Bessemer, AL 35022-7809 | 2017-09-05 |
| 1962952820 | Rachel Noland | Nurse Practitioner | 4810 Bell Hill Rd, Bessemer, AL 35022-6948 | 2016-10-04 |
| 1639521339 | Carie N Tucker | Nurse Practitioner | 2910 Morgan Rd, Bessemer, AL 35022-6484 | 2016-07-06 |
| 1679935977 | Ashley Nicole Adams | Nurse Practitioner | 995 9th Ave Sw, Bessemer, AL 35022-4527 | 2016-03-25 |
| Find all providers in BESSEMER | ||||
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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.