MS. AMANDA CATHERINE SCOTT (NPI# 1942561964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942561964 |
| Entity Type | Individual |
| Full Name | MS. AMANDA CATHERINE SCOTT |
| Other Name | AMANDA CATHERINE JANISSE |
| Credential | ANP |
| Practice Address |
2585 W Houghton Lake Dr Prudenville MI 48651-9624 |
| Mailing Address |
3779 Momentum Pl Chicago IL 60689-5337 |
| Practice Telephone | 9893662900 |
| Mailing Telephone | 9893662900 |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704217937 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 W North Down River Rd Ste C, Grayling, MI 497388024 | 9893445910 | 2319353463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748318 | Amanda Scott | Technician | 790 Teaberry Hills Ln, Elkins, WV 26241-5514 | 2020-10-21 |
| 1326645912 | Amanda Marie Scott | Technician | 397 Wildwood Ave, Lewisburg, WV 24901-9011 | 2020-10-06 |
| 1114533296 | Amanda Scott | Registered Nurse | 3517 County Road 3518, Dike, TX 75437-4806 | 2020-09-23 |
| 1831709435 | Amanda Lou Scott | Technician | 1008 S Kerens Ave, Elkins, WV 26241-3540 | 2020-08-07 |
| 1639726805 | Amanda Scott | Behavior Technician | 12 Overlook St, Whitinsville, MA 01588-1818 | 2019-08-22 |
| 1104287390 | Amanda Leigh Scott | Massage Therapist | 409 County Rd 33, Norwich, NY 13815 | 2016-03-15 |
| 1477912681 | Amanda Scott | Contractor | 6738 138th Ave Ne Apt 620, Redmond, WA 98052-9563 | 2016-02-16 |
| 1851707988 | Amanda Scott | Pharmacist | 1004 Annbriar Ln, Columbus, GA 31909-8046 | 2014-07-09 |
| 1982043477 | Amanda Mary Scott | Internal Medicine | 93 Campus Ave Fl 4, Lewiston, ME 04240-6030 | 2013-06-18 |
| 1972859668 | Amanda Scott | Music Therapist | 700 Mitchell Bridge Rd, #131, Athens, GA 30606-6400 | 2012-07-31 |
| Street Address |
2585 W HOUGHTON LAKE DR |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023074960 | Cynthia K Rubert | Orthopaedic Surgery | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2006-04-20 |
| 1790209161 | Tammy Marie Milbocker | Nurse Practitioner | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2017-07-27 |
| 1952779555 | Devinn L Jeffers | Physician Assistant | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-09-13 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1275914244 | Nicholas William Blank | Family Medicine | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-06-15 |
| 1144626052 | Munson Healthcare Grayling | Clinic/Center | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2014-11-05 |
| 1184977811 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2012-10-18 |
| 1487974184 | James Gee | Internal Medicine | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2010-06-03 |
| 1346481553 | Mercy Hospital Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2009-03-18 |
| 1154571438 | Mhsn Primary Care Services | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130619 | Mohammad Afzal Khan | Nurse Practitioner | 29147 Appleblossom Ln, Farmington Hills, MI 48331-2420 | 2020-10-08 |
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1245858307 | Katherine Perko Hollander | Nurse Practitioner | 2274 Earlmont Rd, Berkley, MI 48072-1877 | 2020-07-06 |
| 1437782067 | Jamie Lynn Kosalsky | Nurse Practitioner | 1385 Cadmus Dr, Troy, MI 48085-1218 | 2020-02-21 |
| 1326698309 | Maria Christina Mekas | Nurse Practitioner | 423 Tamarack Dr, Saline, MI 48176-9573 | 2019-09-12 |
| 1669021358 | Cheryl Fowler | Nurse Practitioner | 523 Fontenelle St Se, Grand Rapids, MI 49548-7316 | 2019-09-05 |
| 1205482387 | Sarah E Born | Nurse Practitioner | 517 Erie Street, Three Rivers, MI 49093-2029 | 2019-08-14 |
| 1023660321 | Cheri Van Wyngarden | Nurse Practitioner | 6250 Jupiter Ave Ne, Belmont, MI 49306-8711 | 2019-07-16 |
| 1194385500 | Adesuwa Iyoha | Nurse Practitioner | 30509 Halecreek St, Romulus, MI 48174-3224 | 2019-06-18 |
| 1740740190 | John Kenneth Dekock | Nurse Practitioner | 5327 48th Ave, Hudsonville, MI 49426-9412 | 2019-03-21 |
| Find all providers with the same taxonomy | ||||
| City | PRUDENVILLE |
| Zip Code | 48651 |
Please comment or provide details below to improve the information on MS. AMANDA CATHERINE SCOTT.
| 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.