AMANDA KAYE BLISS PHYSICIAN ASSISTANT NPI 1972809044

NPI Information

NPI: 1972809044
Provider Name: AMANDA KAYE BLISS, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1197 VAN VOORHIS RD
MORGANTOWN, WV
ZIP 26505
Phone: (304) 599-9400
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Amanda Kaye Bliss, PHYSICIAN ASSISTANT is a medical physician assistant in Morgantown, WV. Amanda Kaye Bliss, PHYSICIAN ASSISTANT NPI is 1972809044. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1197 VAN VOORHIS RD
MORGANTOWN, WV
ZIP 26505-478
Phone: (304) 599-9400
Fax: (304) 599-8917

The NPI 1972809044 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/7/2011 and was last updated on 12/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	006528-1	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	014596-1	NEW YORK	Yes
3	363AM0700X	Physician Assistant	Medical	01753	WEST VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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