Amanda Rae Bledsoe, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1663 Issued in AR

Practice address

775 Amity Rd
Conway, AR 72032-5991

Phone

(501) 504-6999

Fax

(501) 205-8431

NPI assigned

Mar 23, 2006

Last updated

Nov 6, 2023By 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

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amanda Bledsoe Chiropractic Center, PLLCGroup PAC ID 9830457829, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Amanda Bledsoe Chiropractic Center, PLLC

  dba Bledsoe Chiropractic

  • Chiropractor
  • Conway, AR
  • NPI 1295247294
  Medicare reassignment Care Compare group NPD
• Blackmon Chiropractic Clinic, P.a.

  • Chiropractor
  • Little Rock, AR
  • NPI 1508850256
  NPD (past)
• Hurley Health PA

  • Family Medicine Physician
  • Conway, AR
  • NPI 1942606348
  NPD (past)
• Tracy Howard, DC,PA

  • Chiropractor
  • Austin, AR
  • NPI 1053432690
  NPD (past)
• Vilonia Chiropractic

  • Chiropractor
  • Vilonia, AR
  • NPI 1326096579
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1174583280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 AMITY RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325991",
            "telephone_number": "501-504-6999",
            "fax_number": "501-205-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 AMITY RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325991",
            "telephone_number": "501-504-6999",
            "fax_number": "501-205-8431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9772 Maumelle Blvd",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721136737",
            "country_code": "US",
            "telephone_number": "501-725-5432",
            "fax_number": "501-205-8431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLEDSOE",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameria Blake, MHPP
• Kimberly Lorene Blake, FNP-C
• Aimee M Blalock
• Blankenship Management Co. (Southridge Village of Conway)
• Heather Yvonne Blankenship, R.D.A
• Jamie Block, LAC
• Alexandria E Blouin
• Lorenzo L Boatman, RECOVERY ASSISTANT
• Katie Lynn Bobbitt, APN
• Swetha Boddeda, MD

• Chiropractor in Conway, AR
• Providers in Conway, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.