AMANDA DOUGLAS (NPI# 1891248282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891248282 |
| Entity Type | Individual |
| Full Name | AMANDA DOUGLAS |
| Credential | MA |
| Practice Address |
2600 Greenbush St Lafayette IN 47904-2477 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 01230123 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315906 | Amanda Douglas | Speech-Language Pathologist | 12371 S. Kirkwood Rd, Stafford, TX 77477 | 2017-09-22 |
| 1386122869 | Amanda N Douglas | Physician Assistant | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2018-08-06 |
| 1083065999 | Amanda Douglas | Social Worker | 500 E 19th St, Mountain Grove, MO 65711-1114 | 2016-06-22 |
| 1053701805 | Amanda Douglas | Pharmacy Technician | 9901 York Rd, Cockeysville, MD 21030-3407 | 2015-02-02 |
| 1477786671 | Amanda Anne Douglas | Case Manager/Care Coordinator | 805 Tijeras Ave Nw, Albuquerque, NM 87102-3099 | 2009-09-03 |
| 1093861973 | Amanda A Douglas | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2007-01-25 |
| Street Address |
2600 GREENBUSH ST |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47904-2477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
| 1861039547 | Carly J Yoder | Audiologist | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-12-02 |
| 1306488978 | Jana Suzanne Doyle | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-10-15 |
| 1053968024 | Julie J Debord | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1679120653 | Renee L Weathington | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
| 1265086565 | Emily L Newlin | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-07-25 |
| 1720555402 | Carrie Ann Anderson | Dietitian, Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-10-31 |
| 1306320270 | Britney D Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1790269694 | Kristie J Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
| 1174048797 | Laura A Kilmer | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2017-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
| 1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
| 1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
| 1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
| 1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
| 1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
| 1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
| 1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
| 1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
| 1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
| Find all providers in zip 47904 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056640 | Heather Lynn Reid | Counselor | 1410 Adonis Ct, Lafayette, CO 80026-1406 | 2020-09-03 |
| 1013543115 | Kelli German | Counselor | 805 Teurlings Dr, Lafayette, LA 70501-5251 | 2020-03-20 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1467916072 | Skyi Vincent Bordelon | Counselor | 216 Acorn Dr, Lafayette, LA 70507-4204 | 2019-01-28 |
| 1487141503 | Ashley Hefner | Counselor | 800 W Congress St Ste D, Lafayette, LA 70501-5749 | 2018-04-13 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1386159754 | Maria Garcia | Counselor | 111 Galvez Dr, Lafayette, LA 70506-6721 | 2017-12-07 |
| 1003338401 | Peter Brian Derouen | Counselor | 160 Industrial Pkwy Ste 105, Lafayette, LA 70508-8309 | 2017-07-07 |
| 1972037273 | Summer Royale Whittington | Counselor | 120 Amber St, Lafayette, LA 70507-5628 | 2017-04-13 |
| 1982135331 | Tiffiney Tate | Counselor | 100 S Meyers Dr, Apt 1511, Lafayette, LA 70508-7167 | 2017-03-27 |
| Find all providers in LAFAYETTE | ||||
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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.