Amanda N Chadwick

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L043451 Issued in AR

Practice address

5400 Euper LN
Fort Smith, AR 72903-3232

Phone

(479) 300-6400

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By 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

State licenses

Practice roles

Locations

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.

• Kids Unlimited Learning Academy of Fort Smith

  • Developmental Disabilities Clinic/Center
  • Fort Smith, AR
  • NPI 1295321651
  NPD
• Miracle Kids Success Academy Central

  • Developmental Disabilities Clinic/Center
  • Jonesboro, AR
  • NPI 1326844267
  NPD
• Kids Unlimited Learning Academy of Ft. Smith

  • Rehabilitation Clinic/Center
  • Fort Smith, AR
  • NPI 1912325515
  NPD (past)

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1770244188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048404",
            "telephone_number": "870-336-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033232",
            "telephone_number": "479-300-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "AMANDA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "L043451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Discount Pharmacy
• Central Discount Pharmacy
• Ceres Strategies Medical Services, LLC
• Amber Cervantes, LPC,LMFT
• Wayne Chaddock, RPT
• Hillary Chadwick
• Chaffee Diagnostics LLC
• Chaffee Pharmacy Inc.
• Kaleah Chaffin
• Donald Chambers, M.D.

• Licensed Practical Nurse in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Licensed Practical Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.