Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013178755 Individual Practitioner Female Practitioner

Amanda Mcintosh , LPN

Licensed Practical Nurse • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Amanda Mcintosh, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Mentor, OH. Practice services are available at 7232 JUSTIN WAY STE A-UP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way Ste A-Up

Mentor, OH 440604881

Telephone 4405788200
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Mentor, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
56 Specialists

Practicing in Mentor, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-29
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH LPN.129839.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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0207287 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 29, 2021

Registered at 7232 JUSTIN WAY STE A-UP, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address October 29, 2021

Registered at 7232 JUSTIN WAY STE A-UP, MENTOR, OH 440604881 (Tel: 4405788200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2021

Licensed Practical Nurse (License #LPN.129839.MEDS-IV in OH)

NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2017

Registered at 12395 MCCRACKEN RD, SUITE A-UP, GARFIELD HEIGHTS, OH 441252967 (Tel: 2165876727)

📍
Updated Business Mailing Address February 22, 2017

Registered at 12395 MCCRACKEN RD, SUITE A-UP, GARFIELD HEIGHTS, OH 441252967 (Tel: 2165876727)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as AMANDA MCINTOSH, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Licensed Practical Nurse (License #PN129839 in OH)

NPI Profile Active June 24, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2008

Registered at 3690 ORANGE PL, SUITE 330, BEACHWOOD, OH 441224464 (Tel: 2164645200)

📍
Updated Business Mailing Address June 24, 2008

Registered at 3896 W 227TH ST, FAIRVIEW PARK, OH 441261032 (Tel: 4407776551)

👤
Provider Name / Credentials Updated June 24, 2008

Recorded as AMANDA BAUER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2008

Licensed Practical Nurse (License #PN129839 in OH)

🟢
Initial NPI Registration & Enumeration June 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013178755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2008
Last Update: October 29, 2021
Sole Proprietor: Yes

Mailing Address

7232 Justin Way Ste A-Up

Mentor, OH 440604881

Phone: 4405788200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.