Amanda E Wardleigh, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1St Medical Battalion
Camp Pendleton, CA 92055-5657

Phone

(760) 725-2276

NPI assigned

Jan 21, 2011

Last updated

Jan 21, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1306141379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 ROCKING HORSE LN",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920575512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL BATTALION",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920555657",
            "telephone_number": "760-725-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLEIGH",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan R Walker, SOIDC
• Travis Michael Walker, SOIDC
• Robert Seth Wall, M.D.
• Ryan Egan Wall, M.D.
• Leslie H Wallace, DR
• Dorothea Elizabeth Ware, LCSW
• Andrew Owen Warner, SOIDC
• Ryan Thomas Warner, D.O.
• Joshua Watersjackson, ATC
• Julie Watters, D.O.

• Independent Duty Corpsman in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.