Healthcare Provider Details

I. General information

NPI: 1740018035
Provider Name (Legal Business Name): AMANDA DAWN SPEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 N 2ND ST
IRONTON OH
45638-1235
US

IV. Provider business mailing address

2727 S 5TH ST
IRONTON OH
45638-2712
US

V. Phone/Fax

Practice location:
  • Phone: 740-442-7045
  • Fax:
Mailing address:
  • Phone: 740-533-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: