Amanda Maria Pattison

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

63231 Issued in OK

Practice address

13 Hillcrest Dr
Ponca City, OK 74604-4808

Phone

(580) 761-5197

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1144943499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WESTBURY RD",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746017432",
            "telephone_number": "580-716-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 HILLCREST DR",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746044808",
            "telephone_number": "580-761-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTISON",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "63231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skippersnurses@hotmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13 Hillcrest Dr",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746044808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela J Poland MD (Ponca City Eye Clinic)
• Ana Maria Soledad Pando
• Jayla Jordan Pappan
• Abby Parker, APRN, CNP-BC
• Kalena Pate, DMD
• Paul Guy Hagood
• Lesli Diane Payne, COTA/L
• PCH Radiology PC
• Laura Anne Peitz, M.S., LPC
• Baylee Morgan Pemberton- Bonewell

• Licensed Practical Nurse in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.