Amanda McGillian, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

73677 Issued in WV

Practice address

3045 Pennsylvania Ave Ste 3
Weirton, WV 26062-3770

Phone

(304) 723-4000

Fax

(304) 723-4003

NPI assigned

Dec 21, 2011

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amcgillian117413@direct.chmca.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD
• Children'S Hospital Medical Center of Akron

  • Pediatrics Physician
  • Akron, OH
  • NPI 1841328853
  NPD (past)

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1497024327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 PENNSYLVANIA AVE STE 3",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623770",
            "telephone_number": "304-723-4000",
            "fax_number": "304-723-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 PENNSYLVANIA AVE STE 3",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623770",
            "telephone_number": "304-723-4000",
            "fax_number": "304-723-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGILLIAN",
        "first_name": "AMANDA",
        "credential": "PNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WV",
            "license": "73677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Angelica Matthews, RBA
• Rosie McAllister
• Crystal McCawley, PRSS
• Cynthia Dawn McCord, RDH
• Kiley McCoy, RN
• Nicoyia McGrath, RN
• Shelby McIntyre
• Elizabeth Ann McKeever, AUD, CCC-A
• Tia Annmarie McKenney
• Kelli L McKim

• Pediatric Nurse Practitioner in Weirton, WV
• Providers in Weirton, WV by specialty
• Pediatric Nurse Practitioner in West Virginia

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