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Amanda Danielle Mackey , LPN

Licensed Practical Nurse β€’ Dayton, OH

Active NPI 1225537830 Individual Practitioner Female Practitioner
Practice location in NPPES

1 Elizabeth Pl
Dayton, OH 454173445

Call 9378131737 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1 Elizabeth Pl

Dayton, OH 454173445

Telephone 9378131737
Organization at the Same NPPES Address or Phone
Dayton Rehabilitation Institute, Llc Facility NPI 1619966231

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Miamisburg, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

638 active clinicians are listed under Licensed Practical Nurse with a practice address in Dayton, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0% of these 638 clinicians have the CMS telehealth indicator.

0% of these 638 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-10-25
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES OH 130679.MEDS-IV

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

301 E Linden Ave

Miamisburg, OH 453422827

Phone: 5132920868

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

14 listed
Cherie Clark , NP

Nurse Practitioner - Family

NPI 1538625389

Nurse Practitioner

Christina Dueno , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1568813947

Advanced Practice Registered Nurse

Robert Frank , LPT

Physical Therapist

NPI 1245411552
Dr. Jan Gouda , MD

Neurological Surgery

NPI 1427163906

Doctor of Medicine (M.D.)

Dr. Andre Harris , MD

Obstetrics & Gynecology

NPI 1134192644

Doctor of Medicine (M.D.)

NPI 1467603175

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location October 25, 2023

Registered at 1 ELIZABETH PL, DAYTON, OH 454173445 (Tel: 9378131737)

πŸ‘€
Provider Name / Credentials Updated October 25, 2023

Recorded as AMANDA MACKEY, LPN

βœ…
NPI Profile Active February 09, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 09, 2018

Registered at 111 GREEN MEADOW CT, FRANKLIN, OH 450054560 (Tel: 5132920868)

πŸ“
Business Mailing Address (Initial Record) February 09, 2018

Registered at 111 GREEN MEADOW CT, FRANKLIN, OH 450054560 (Tel: 5132920868)

πŸ‘€
Provider Name / Credentials (Initial Record) February 09, 2018

Recorded as AMANDA LACON, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2018

Licensed Practical Nurse (license number reported to NPPES: OH 130679.MEDS-IV)

🟒
Initial NPI Registration & Enumeration February 09, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225537830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2018
Last Update: October 25, 2023
Sole Proprietor: No

Mailing Address

111 Green Meadow Ct

Franklin, OH 450054560

Phone: 5132920868

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.