Provider Profile

Amanda Icenogle

Unclaimed Profile

About Amanda Icenogle

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Education & Training

School Other

Specialty

UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) (Primary)

Credentials & Licensing

License number103K00000X
NPI1174198808
NPI issued05/25/2021

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Amanda Icenogle?

Amanda Icenogle is an undefined non in Dothan, AL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Undefined Non-Physician Type (Specify)”.

NPI registry

What is Amanda Icenogle's address?

Amanda Icenogle is listed at 2543 Ross Clark Cir, Dothan, AL 36301. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Amanda Icenogle?

The number on file is (334) 699-4007. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Amanda Icenogle's NPI number?

Amanda Icenogle's National Provider Identifier is 1174198808. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Amanda Icenogle train?

Amanda Icenogle attended Other. This comes from the CMS National Downloadable File.

CMS public data

How long has Amanda Icenogle been practicing?

Amanda Icenogle has 5+ years experience. Registered with an NPI since 2021. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Amanda Icenogle confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Amanda Icenogle. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.