Amanda M Netherly

Primary specialty

Technician/TechnologistTaxonomy code 156F00000X

License

201806900600 Issued in NU

Practice address

289 Jupiter Dr
Cincinnati, OH 45238-6035

Phone

(513) 549-2710

NPI assigned

Jun 11, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Vero Custom Construction

  • Point of Service
  • Cincinnati, OH
  • NPI 1780179796
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1114410404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 JUPITER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452386035",
            "telephone_number": "513-549-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 JUPITER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452386035",
            "telephone_number": "513-549-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERLY",
        "first_name": "AMANDA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "NU",
            "license": "201806900600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL CONTRACTOR",
            "identifier": "201806900600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Nesbitt, MD
• Mary Denise Nesius, FNP
• Mary Nester, OTR/L
• Thaddeus Nestheide, PSY.D
• Blake R Nestok, MD
• Lisa Renee Netter, LPN
• Kimberly Nettles
• Kathleen Netzel
• Jeffery A Neu, PA
• Emily Neubauer

• Technician/Technologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Technician/Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.