Amanda Downing Gantt
Individual provider Active NPI Community Health Worker · Las Vegas, NV
NPI 1043636624 · NPPES record last updated Mar 6, 2014
Key facts
- NPI
- 1043636624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 1050 E Flamingo Rd
Ste-107
Las Vegas, NV 89119-7427 - Phone
- (702) 733-8098
- NPI assigned
- Mar 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
1050 E Flamingo Rd
Ste-107
Las Vegas, NV 89119-7427
Mailing address
1050 E Flamingo Rd
Ste-107
Las Vegas, NV 89119-7427
Other providers in Las Vegas, NV
- Sandra Downey
- William L. Downey Jr.
- Direlda Downie
- Romana Downie
- Downing Clinic PLLC
- Chalyndra Downing
- Dan Downing
- Jennifer Downing
- Kevin Lee Downing
- Krista Michelle Downing
All providers in Las Vegas, NV · Community Health Worker in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.