NPIMap

Individual provider Active NPI

Amanda Jo Sealock, RN

  • Gerontology Nurse Practitioner
  • Coshocton, OH
National Provider Identifier
1972024545
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.022208 Issued in OH
Practice address
311 S 15TH St Ste 206
Coshocton, OH 43812-1875
Phone
(740) 622-1200
NPI assigned
Jul 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.022208 OH Primary

Addresses

Primary practice location

311 S 15TH St Ste 206
Coshocton, OH 43812-1875

Mailing address

5727 Clay Pike Rd
Cambridge, OH 43725-9367

Other practice location 1

1341 Clark St
Cambridge, OH 43725-9614
Phone (740) 439-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904000627 OH Practitioner - Nurse Practitioner 7911257571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Columbus, OH 43230-2546
Phone (614) 284-4114

3784 Frazeysburg Rd
Zanesville, OH 43701-7575
Phone (614) 284-4114

Hospital & facility affiliations

  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Interim Healthcare of Cambridge Home health agency, Zanesville, OH, CCN 367324
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.022208OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
At Your Door Visiting Healthcare Services, LLC CurrentSince May 21, 2023 Accepting new patients
Ayd - Value Based Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Provider Partners Care Management LP CurrentSince Aug 1, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Jul 23, 2022 Accepting new patients
Superior Med LLC CurrentSince Dec 16, 2018 Accepting new patients
Health First Medical Center PastSince Mar 20, 2019 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

1230 Clark St
Apt A
Cambridge, OH 43725
Phone (740) 435-2340

1251 Clark St
Cambridge, OH 43725
Phone (740) 439-0733

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 233-2142

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.sealock.1@26689.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972024545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 CLAY PIKE RD",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST STE 206",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121875",
            "telephone_number": "740-622-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 Clark St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437259614",
            "country_code": "US",
            "telephone_number": "740-439-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEALOCK",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.022208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

Verify at the official NPI Registry.