Healthcare Provider Details

I. General information

NPI: 1851521470
Provider Name (Legal Business Name): AMANDA L RUMPKE CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E GALBRAITH RD STE 206
CINCINNATI OH
45236-6704
US

IV. Provider business mailing address

3000 MACK RD STE. 120
FAIRFIELD OH
45014-5335
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-4490
  • Fax: 513-791-7287
Mailing address:
  • Phone: 513-682-6975
  • Fax: 513-682-6976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number10765NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: