MRS. AMANDA KIMBLE CRAWFORD (NPI# 1891794020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891794020 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KIMBLE CRAWFORD |
| Other Name | MISS AMANDA MECHE KIMBLE |
| Credential | CPNP |
| Practice Address |
8415 Goodwood Blvd Ste 100 Baton Rouge LA 70806-7851 |
| Mailing Address |
2051 Silverside Dr Ste 260 Baton Rouge LA 70808-9005 |
| Practice Telephone | 2257655633 |
| Practice Fax Number | 2257655634 |
| Mailing Telephone | 2254906301 |
| Mailing Fax Number | 2257659539 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN096204 AP04552 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1468789 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194242107 | Amanda L Crawford | Speech-Language Pathologist | 2901 Thalen St, Richmond, VA 23223-1437 | 2017-08-30 |
| 1942698311 | Amanda Crawford | Specialist/Technologist | 3026 Windsor Ave, Waco, TX 76708-3231 | 2015-01-07 |
| 1144263898 | Amanda Couch Crawford | Nurse Practitioner | 701 Princeton Ave Sw Ste 4102, Birmingham, AL 35211-1303 | 2006-06-13 |
| 1528696994 | Amanda Elizabeth Crawford | Student in an Organized Health Care Education/Training Program | 1664 N Virginia St # Ms 0316, Reno, NV 89557-0001 | 2020-03-31 |
| 1053738310 | Amanda Kristin Crawford | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2014-03-25 |
| 1699114637 | Amanda Mae Crawford | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-06-24 |
| 1558706200 | Amanda Lee Crawford | Behavioral Analyst | 1100 E Market St, Louisville, KY 40206-1838 | 2013-05-08 |
| 1669816716 | Amanda Dow Crawford | Counselor | 1708 Trawick Rd Ste 101, Raleigh, NC 27604-3897 | 2013-04-19 |
| 1205175221 | Amanda Rae Crawford | Nurse Practitioner | 2315 Mayfair Dr, Suite 16, Owensboro, KY 42301-4557 | 2013-02-12 |
| 1376829010 | Amanda Marie Crawford | Physician Assistant | 8600 N State Route 91, Suite 300, Peoria, IL 61615-9541 | 2011-10-26 |
| Street Address |
8415 GOODWOOD BLVD STE 100 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-7851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033118443 | Horace Jay Collinsworth | Pediatrics | 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806-7851 | 2005-07-18 |
| 1386053031 | Nicole Dinh | Pediatrics | 8415 Goodwood Blvd, Ste. 202, Baton Rouge, LA 70806-7851 | 2014-08-07 |
| 1740697374 | David Benjamin Holmes | Student in an Organized Health Care Education/Training Program | 8415 Goodwood Blvd, Ste. 202, Baton Rouge, LA 70806-7851 | 2014-07-15 |
| 1699181966 | Alma Rosibel Cruz | Allergy & Immunology | 8415 Goodwood Blvd, Ste 202, Baton Rouge, LA 70806-7851 | 2014-07-08 |
| 1326454521 | Hunter Thomas Hamilton | Pediatrics | 8415 Goodwood Blvd, Ste 202, Baton Rouge, LA 70806-7851 | 2014-07-08 |
| 1447682802 | Mary Beth Mazza-ricketts | Nurse Practitioner | 8415 Goodwood Blvd, Suite 100, Baton Rouge, LA 70806-7851 | 2013-08-07 |
| 1497010532 | Sylvia M Sutton | Pediatrics | 8415 Goodwood Blvd, Baton Rouge, LA 70806-7851 | 2012-07-04 |
| 1891094603 | Meagan Teal Blanchard | Pediatrics | 8415 Goodwood Blvd, Suite 104, Baton Rouge, LA 70806-7851 | 2011-03-18 |
| 1356643399 | Our Lady of The Lake Physician Group LLC | Internal Medicine | 8415 Goodwood Blvd, Ste 105, Baton Rouge, LA 70806-7851 | 2010-11-24 |
| 1417184110 | Roberta Carona Vicari | Pediatrics | 8415 Goodwood Blvd, Suite 202, Baton Rouge, LA 70806-7851 | 2009-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750582953 | Mary L Abadie | Nurse Practitioner | J K Haynes Bldg 170, 3rd Floor, Baton Rouge, LA 70813-0001 | 2007-05-29 |
| 1356340038 | Rebecca Knost Bokun | Nurse Practitioner | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2005-07-15 |
| 1912466863 | Rikki F Bourque | Nurse Practitioner | 7777 Hennessy Blvd Ste 306, Baton Rouge, LA 70808-4365 | 2019-03-19 |
| 1699287151 | Anna Stokes | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2017-10-24 |
| 1396108619 | Rachael Merey Simms | Nurse Practitioner | 888 Tara Blvd, Baton Rouge, LA 70806-7818 | 2016-04-04 |
| 1457716151 | Kristy Leigh Dibble | Nurse Practitioner | 4560 North Blvd, Suite 108, Baton Rouge, LA 70806-4043 | 2015-12-22 |
| 1588051296 | Emily Mcmann | Nurse Practitioner | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2015-04-20 |
| 1801289624 | Theresa Escude' Robert | Nurse Practitioner | 7278 Highland Rd, Suite B, Baton Rouge, LA 70808-6600 | 2015-03-18 |
| 1700279841 | Emily Jewell | Nurse Practitioner | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2015-03-13 |
| 1639560519 | Katherine Montgomery Helo | Nurse Practitioner | 7777 Hennessy Blvd, Suite 312, Baton Rouge, LA 70808-4300 | 2015-02-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on MRS. AMANDA KIMBLE CRAWFORD.
| 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.