Amanda Leigh Jodon, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP016674 Issued in PA

Practice address

207 Woodstown Hwy
Hollsopple, PA 15935-7119

Phone

(814) 479-4034

NPI assigned

Oct 19, 2016

Last updated

Jan 15, 2019By 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

Other names 1

• Amanda McKendree Other name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Cresson

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905
  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609
  NPD
• DLP Conemaugh Physician Practices LLC

  dba Conemaugh Physician Group Somerset

  • Family Medicine Physician
  • Somerset, PA
  • NPI 1396151361
  NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1801347430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NAUGLE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159046928",
            "telephone_number": "814-254-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 WOODSTOWN HWY",
            "city": "HOLLSOPPLE",
            "state": "PA",
            "postal_code": "159357119",
            "telephone_number": "814-479-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JODON",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP016674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "MCKENDREE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Conemaugh Health Initiatives (CHI Davidsville)
• Conemaugh Health Initiatives (Conemaugh Physician Group-Family Medicine-Davidsville)
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - Davidsville)
• Hannah J Folk, PHYSICIAN ASSISTANT
• Gary M. Davidson, MD
• Amy M Reynolds, DO
• Strasiser Chiropractic, Inc
• Tony W Strasiser, D.C.
• Leonard Michael Volk Jr., OTR
• Matthew Lloyd Walker, D.C

• Family Nurse Practitioner in Hollsopple, PA
• Providers in Hollsopple, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.