Amanda Jonette Lare, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

172225 Issued in OH

Practice address

13969 German Church Rd
Atwater, OH 44201-9016

Phone

(330) 206-7249

NPI assigned

May 19, 2022

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1417694530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W VINE ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446011339",
            "telephone_number": "330-206-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13969 GERMAN CHURCH RD",
            "city": "ATWATER",
            "state": "OH",
            "postal_code": "442019016",
            "telephone_number": "330-206-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARE",
        "first_name": "AMANDA",
        "middle_name": "JONETTE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "172225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Groves
• Amanda Hermann, RN, BSN
• Mathew John Hlivko, LMT
• Elizabeth Hoopes, M.A.,CCC/SLP
• Heather Lynn Hughes, COTA/L
• Juan Camilo Lopera Nino
• Nicole Love, LMT
• Carol McAdow
• Nadia McClinsey
• Natalie Hope Merchant, P.T.

• Licensed Practical Nurse in Atwater, OH
• Providers in Atwater, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.