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AMANDA SOUTHWORTH
NPI 1285128157
Technician - Personal Care Attendant in Las Vegas, NV

Active since June 14, 2018
6330 MCLEOD DR STE 3, LAS VEGAS, NV 89120(702) 487-5480 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2019, Jun 14, 2018 (2 updates tracked since 2018).

About Amanda Southworth NPPES

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

AMANDA SOUTHWORTH (NPI 1285128157) is an individual personal care attendant in Las Vegas, Nevada and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1285128157
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameAMANDA SOUTHWORTH
Location Address6330 MCLEOD DR STE 3Las Vegas, NV 89120-4431
Mailing Address2020 Pinto LnLas Vegas, NV 89106-4019 · (702) 868-2901
Phone(702) 487-5480
Sole ProprietorYes
Enumeration DateJune 14, 2018
Last NPPES UpdateJune 18, 20192 updates tracked since enumeration
✔ NPI 1285128157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedBehavior AnalystTaxonomy 103K00000X
6330 MCLEOD DR STE 3, Las Vegas, NV 89120
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Other Identifiers 1

MedicaidDO9097297AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

LOVELIFE FAMILY SERVICES L.L.C
Community/Behavioral Health
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 754-3484
KIM L GREEN
Technician (Personal Care Attendant)
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 487-5480
WELL CARE MEDICAL GROUP LLC
Internal Medicine
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (747) 273-6179
DION HALL-BROWN
Behavior Analyst
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 754-3484
JESSICA HENRY-FUNCHES
Behavior Analyst
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 754-3484
JOUSHA BARDEN
Technician (Personal Care Attendant)
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 716-6293
TIFFANY GREEN
Technician (Personal Care Attendant)
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 487-5480
KENYA DOUGLAS
Behavior Analyst
6330 MCLEOD DR STE 3
LAS VEGAS, NV 89120
Clark County (702) 754-3484

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 Southworth's NPI number?

The NPI number for Amanda Southworth is 1285128157. It was assigned to this individual provider in the NPPES registry on June 14, 2018.

Where is Amanda Southworth located?

Amanda Southworth practices at 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120. The listed phone number is (702) 487-5480.

What is Amanda Southworth's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Amanda Southworth was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.