Amanda Herscher

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704299787 Issued in MI

Practice address

6250 M 66 N
Charlevoix, MI 49720-9272

Phone

(231) 547-5885

NPI assigned

Dec 4, 2017

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Country Community Mental Health

  • Community/Behavioral Health Agency
  • Petoskey, MI
  • NPI 1053474015
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2017.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1104331834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 M 66 N",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 M 66 N",
            "city": "CHARLEVOIX",
            "state": "MI",
            "postal_code": "497209272",
            "telephone_number": "231-547-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704299787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emi K Halberg, LMT
• Ryan Vincent Halbower, DMD
• Carl D Harlan Jr., DO
• Hawk Emergency Group, P.C.
• Ann Hazelwood, LPC
• Tamara Lynn Hickman, CPNP
• Stephanie A Hinkley, RPH
• Ryan Keith Hooper
• Ruth E Hoppe, M.D.
• Karlene Marie Howard, CHW

• All providers in Charlevoix, MI
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.