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AMANDA NICOLE WEISE
NPI 1053258319
Student in an Organized Health Care Education/Training Program in Ravenna, OH

Active since May 04, 2026
6751 N CHESTNUT ST, RAVENNA, OH 44266(330) 296-3641 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Nicole Weise NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA NICOLE WEISE (NPI 1053258319) is an individual student in an organized health care education/training program in Ravenna, Ohio and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1053258319
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA NICOLE WEISE
Location Address6751 N CHESTNUT STRavenna, OH 44266-3903
Mailing Address34 Cortland CirGeneva, OH 44041-9135
Phone(330) 296-3641
Sole ProprietorNo
Enumeration DateMay 4, 2026
NPPES CertifiedMay 3, 2026
✔ NPI 1053258319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
6751 N CHESTNUT ST, Ravenna, OH 44266
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANET ELAINE WERKNER PH.D., L.I.S.W.
Social Worker (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
LISA M BORIS LISW
Social Worker (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
DR. TARA LYNN CLARK PSYD
Psychologist (Clinical)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
BILLY JAMES MAGNUS II LPN
Licensed Practical Nurse
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
CLEVELAND VAMC
Clinic/Center (VA)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (608) 821-7200
DENISE E DUES RN
Registered Nurse (General Practice)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
DR. SUDHEERA KALEPU M.D.
Internal Medicine
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641
RUDOLPH PEKAROVIC III
Nurse Practitioner (Psychiatric/Mental Health)
6751 N CHESTNUT ST
RAVENNA, OH 44266
Portage County (330) 296-3641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Weise's NPI number?

The NPI number for Amanda Weise is 1053258319. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Amanda Weise located?

Amanda Weise practices at 6751 N Chestnut St, Ravenna, OH 44266. The listed phone number is (330) 296-3641.

What is Amanda Weise's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Weise was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.