Amanda Lee West (NPI# 1063706026, PAC ID# 5193996122) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063706026 |
| PAC ID by PECOS | 5193996122 |
| Professional Enrollment ID | I20140924001873 |
| Full Name | Amanda Lee West |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Address |
551616 Us Hwy 1 Hilliard FL 32046-8281 |
| Phone Number | 9048453574 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2860411188 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| Address | Phone | Organization |
|---|---|---|
| 551616 Us Hwy 1, Hilliard, FL 32046-8281 | 9048453574 | ST VINCENT'S AMBULATORY CARE INC |
| 1801 Barrs St, Suite 120, Jacksonville, FL 32204-4738 | 9043082006 | ST VINCENT'S AMBULATORY CARE INC |
| Organization Legal Name | ST VINCENT'S AMBULATORY CARE INC |
| Physicians | 317 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nadine Wlasiuk | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1658 St Vincent's Way, Suite 300, Middleburg, FL 32068-8431 |
| Felipe Velazquez | Family Medicine | St Vincent's Ambulatory Care Inc | 6488 103rd St, Suite B, Jacksonville, FL 32210-7161 |
| Carlos Mora | Neurology | St Vincent's Ambulatory Care Inc | 3 Shircliff Way, Dillion Building Suite 724, Jacksonville, FL 32204-4786 |
| Ronnesia Austin Wright | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 1503 Oak St, Jacksonville, FL 32204-3910 |
| Christa W Lehman | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 858 Monument Rd, Suite B, Jacksonville, FL 32225-6670 |
| Troy F Borema | Family Medicine | St Vincent's Ambulatory Care Inc | 12311 San Jose Blvd, Jacksonville, FL 32223-2673 |
| Tanielle Lamonika Brew | Family Medicine | St Vincent's Ambulatory Care Inc | 1760 W Edgewood Ave, Suite B, Jacksonville, FL 32208-7209 |
| Austin J Chaput | Family Medicine | St Vincent's Ambulatory Care Inc | 2001 County Rd 210, Saint Johns, FL 32259-2063 |
| Samantha J Barry | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 11512 Lake Mead Ave, Suite 521, Jacksonville, FL 32256-5835 |
| Caroline R Price | Family Medicine | St Vincent's Ambulatory Care Inc | 6856 103rd St, Jacksonville, FL 32210-6877 |
| Street Address |
551616 US HWY 1 |
| City | HILLIARD |
| State | FL |
| Zip | 32046-8281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison Lynn Riegner | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Jack William Mounce | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Kimberly Jo Bravo | Nurse Practitioner | St Vincent's Ambulatory Care Inc | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| James Scott Trimble | Dermatology | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Laura R Clark | Nurse Practitioner | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Scarlet F Encina | Physician Assistant | James S Trimble Md Pa | 551616 Us Hwy 1, Hilliard, FL 32046-8281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John M Fitzgibbon | Clinical Social Worker | Cotler Healthcare and Development Inc | 554820 Us Hwy 1, Hilliard, FL 32046-2846 |
| City | HILLIARD |
| Zip Code | 32046 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HILLIARD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Amanda Lee West.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.