Amanda Rae Reaney, MSPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3204 Cherokee Dr
Marion, IL 62959-5255

Phone

(618) 922-3739

NPI assigned

Sep 29, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Department of Behavioral Health & Developmental Disabilities

  dba Georgial Regional Hospital at Savannah

  • Psychiatric Hospital
  • Savannah, GA
  • NPI 1942432737
  NPD

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1174832893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 CHEROKEE DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595255",
            "telephone_number": "618-922-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 CHEROKEE DR",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595255",
            "telephone_number": "618-922-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REANEY",
        "first_name": "AMANDA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mannil Ravindranathan, MD
• Amar Rawal, MD
• Joshme Rawal, APRN
• Emma Kate Ray, SLP
• Rci (WRS) Inc.
• Pradeep Gopala Reddy, MD
• Amy Reed
• Madison Reed, CRSS, MHP
• Laura Reedy, CRNA
• Linda K. Reid, CRNA

• Physician Assistant in Marion, IL
• Providers in Marion, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.