Amanda Vansant, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA160191 Issued in OR

Practice address

702 Sunset Dr
Ontario, OR 97914

Phone

(541) 889-9167

Fax

(541) 889-7873

NPI assigned

Dec 17, 2012

Last updated

Mar 21, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Lifeways, Inc

  • Community/Behavioral Health Agency
  • Ontario, OR
  • NPI 1568558955

  ID

  Medicare reassignment
• Centerpointe, Inc.

  • Community/Behavioral Health Agency
  • Nampa, ID
  • NPI 1477685550
  Medicare reassignment
• Spine Institute of Idaho P a

  • Orthopaedic Surgery of the Spine Physician
  • Meridian, ID
  • NPI 1659380269
  Medicare reassignment
• Idaho Emergency Physicians, P.a.

  • Emergency Medicine Physician
  • Meridian, ID
  • NPI 1730133208
  NPD (past)
• Wellspring Behavioral Health, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Eagle, ID
  • NPI 1124642293
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1295071496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979143121",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SUNSET DR",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "97914",
            "telephone_number": "541-889-9167",
            "fax_number": "541-889-7873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "74B Centennial Loop",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974017918",
            "country_code": "US",
            "telephone_number": "541-686-3791",
            "fax_number": "541-686-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSANT",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-17",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1233",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA160191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Henry Van Egmond, QMHA
• Jared Ross Van Orman, MD
• Tyler R Van Wagenen, PA
• Bryce Van Zelf, BA
• Ron Vanausdal, LCSW
• Jovanna Vargas
• Maria Vargas
• Melissa Ann Vargas
• Derek Falcon Vergara
• Vernon E Barton MD PC

• Physician Assistant in Ontario, OR
• Providers in Ontario, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.