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Active NPI 1417469677 Individual Practitioner Female Practitioner

Amanda Buckhalter , LPN

Licensed Practical Nurse • Longview, WA

Professional Overview & Biography Verified Profile Summary

Amanda Buckhalter, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Longview, WA. Practice services are available at 921 14TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

921 14th Ave

Longview, WA 986322316

Telephone 3604230203
Fax 3604232311
Associated Practice Facility / Clinic
🏢 Columbia Wellness Facility NPI 1487659579

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
22 Specialists

Practicing in Longview, WA (1730 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP00052833

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003328261
NPI 1013150119

Master of Arts

NPI 1013415439
Evalyn Evangelista , RN

Registered Nurse

NPI 1013472984

Registered Nurse

Melissa Jarvis

Counselor - Mental Health

NPI 1013565357
Heather Gaines

Counselor - Mental Health

NPI 1023446325

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

📍
Updated Business Mailing Address October 27, 2017

Registered at 921 14TH AVE, LONGVIEW, WA 986322316 (Tel: 3604230203)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as AMANDA BUCKHALTER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Licensed Practical Nurse (License #LP00052833 in WA)

🟢
Initial NPI Registration & Enumeration October 27, 2017

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: 1417469677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2017
Last Update: October 27, 2017
Sole Proprietor: No

Mailing Address

921 14th Ave

Longview, WA 986322316

Phone: 3604230203

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.