Active NPI
Amanda Lawhead
- Preferred Provider Organization
- Painesville, OH
National Provider Identifier
1376479402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- SS962114
- Practice address
- 100 Parkhall Dr
Painesville, OH 44077-5255 - Phone
- (440) 413-4057
- NPI assigned
- Jun 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | SS962114 | OH | Primary |
Addresses
Primary practice location
100 Parkhall Dr
Painesville, OH 44077-5255
Mailing address
100 Parkhall Dr
Painesville, OH 44077-5255
Phone (440) 413-4057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1376479402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARKHALL DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440775255",
"telephone_number": "440-413-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PARKHALL DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440775255",
"telephone_number": "440-413-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWHEAD",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-18",
"last_updated": "2026-06-18",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "OH",
"license": "SS962114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.