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Amanda Lynn Clark , RN

Registered Nurse β€’ Springfield, OH

Active NPI 1669189064 Individual Practitioner Female Practitioner
Practice location in NPPES

1948 N Limestone St
Springfield, OH 455032648

Call 8666534263 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

1948 N Limestone St

Springfield, OH 455032648

Telephone 8666534263
Fax 8004807578

NPI first issued

2022

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 Springfield and Ohio

112 active clinicians are listed under Registered Nurse with a practice address in Springfield, OH (9,671 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 112 clinicians have the CMS telehealth indicator.

0% of these 112 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: 2025-09-30
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OH RN.473670

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0012309 (OH)

Clinicians Sharing This Practice Address or Phone

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

5 listed
Sarah Dangelo , RN, BSN, MSN, NP-C

Nurse Practitioner - Family

NPI 1871738856

Registered Nurse, Bachelor of Science in Nursing, Master of Science in Nursing, Nurse Practitioner (Certified)

Debbie Karstu , NP

Nurse Practitioner

NPI 1629277421

Nurse Practitioner

Karla Lang , LISW-S

Social Worker - Clinical

NPI 1184989568

LISWS

Dr. Christopher Mills , MD

Psychiatry & Neurology - Psychiatry

NPI 1750349601

Doctor of Medicine (M.D.)

Dr. Nadia Tayeb , MD

Psychiatry & Neurology - Forensic Psychiatry

NPI 1952747198

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location September 30, 2025

Registered at 1948 N LIMESTONE ST, SPRINGFIELD, OH 455032648 (Tel: 8666534263)

πŸ“
Updated Business Mailing Address September 30, 2025

Registered at 215 GOLDEN GATE AVE, SPRINGFIELD, OH 455051562 (Tel: 5135044280)

πŸ‘€
Provider Name / Credentials Updated September 30, 2025

Recorded as AMANDA CLARK, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2025

Registered Nurse (license number reported to NPPES: OH RN.473670)

βœ…
NPI Profile Active November 04, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 04, 2022

Registered at 2317 E HOME RD, SPRINGFIELD, OH 455032520 (Tel: 8336910736)

πŸ“
Business Mailing Address (Initial Record) November 04, 2022

Registered at 2317 E HOME RD, SPRINGFIELD, OH 455032520 (Tel: 8336910736)

πŸ‘€
Provider Name / Credentials (Initial Record) November 04, 2022

Recorded as AMANDA SICKLES

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2022

Registered Nurse (license number reported to NPPES: OH RN.473670)

🟒
Initial NPI Registration & Enumeration November 04, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669189064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2022
Last Update: September 30, 2025
Sole Proprietor: Yes

Mailing Address

215 Golden Gate Ave

Springfield, OH 455051562

Phone: 5135044280

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.