Amanda Elizabeth Soulliere, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN112215 Issued in NE

Practice address

741 Pinnacle Dr
Papillion, NE 68046-6269

Phone

(402) 932-8384

Fax

(402) 932-8863

NPI assigned

Jun 23, 2017

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

State licenses

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1851811566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 RAVEN OAKS DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521745",
            "telephone_number": "402-309-9946",
            "fax_number": "402-932-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PINNACLE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680466269",
            "telephone_number": "402-932-8384",
            "fax_number": "402-932-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULLIERE",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "APRN112215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Solomon
• Paris Sorensen
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• Theresa Ann Soucy
• Madison Souder, DPT
• Leslie Southard, PHARM.D.
• Brenda Nicole Sparks
• Simone Sparrock
• Mindy Speck
• Specops Surgery, LLC

• Family Nurse Practitioner in Papillion, NE
• Providers in Papillion, NE by specialty
• Family Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.