MRS. AMANDA JO PRESTIGIACOMO


Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: 2088140000

MRS. AMANDA JO PRESTIGIACOMO (NPI# 1043747579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043747579
Entity Type Individual
Full Name MRS. AMANDA JO PRESTIGIACOMO
Credential FNP-C
Practice Address 801 Pole Line Rd W
Twin Falls
ID 83301-5810
Practice Telephone 2088140000
Enumeration Date 2017-05-15
Last Update Date 2017-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 55632 ID Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 801 POLE LINE RD W
City TWIN FALLS
State ID
Zip Code 83301-5810

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891784245 Elizabeth Jo Johnson Family Medicine 801 Pole Line Rd W, Suite 3810, Twin Falls, ID 83301-5810 2005-10-18
1164022919 Grace Honecker Dietitian, Registered 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-10-30
1699384990 Mckenzie Kennell Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-23
1528676277 Gregory Haws Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-20
1699383349 Taylor Sebert Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-07-20
1740803931 Peggy M Doshier Social Worker 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-05-21
1457984718 Edward L Fuchs Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-02-14
1124659214 Greg Hegman Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-28
1598396772 Amanda Lynn Tyler Pharmacist 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-28
1881224327 St Lukes Magic Valley Regional Medical Center Ltd Pharmacy 801 Pole Line Rd W, Twin Falls, ID 83301-5810 2020-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023645918 Matthew Anderson Pharmacist Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 2020-03-23
1780146316 Frontier Pediatric Partners, Pllc Pediatrics 1502 Locust Street N #700, Twin Falls, ID 83301 2019-04-02
1972073377 Wood River Acupuncture Acupuncturist 1625 Addison Ave East, Twin Falls, ID 83301 2018-11-28
1235629874 Lonnie Paul Counselor 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 2018-05-17
1679060966 Christina Jirapha Thongdee Social Worker 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 2018-04-23
1437658499 Tyrel Kevin Ward Chiropractor 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 2018-02-06
1851836381 Tanabell Health Services, Inc Skilled Nursing Facility 1134 Cheney Drive West, Twin Falls, ID 83301 2016-12-19
1578005195 Matthew Carter Physical Therapist 1053 Eastland Drive, Twin Falls, ID 83301 2016-11-14
1790227783 Murvat Usmanova Nurse Practitioner 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 2016-11-08
1265894687 Shawna Fultz Social Worker 1201 Fall Ave East Suite C, Twin Falls, ID 83301 2016-03-24
Find all providers in zip 83301

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982269973 Patricia Conner Nurse Practitioner 775 Pole Line Rd W Ste 105&111, Twin Falls, ID 83301-5814 2019-05-06
1265635171 Asthma & Allergy of Idaho Nurse Practitioner 800 Falls Ave Ste 2, Twin Falls, ID 83301-3366 2007-06-07
1962590505 Jan A Sund Nurse Practitioner 496 Shoup Ave W Ste C, Twin Falls, ID 83301-5043 2006-10-10
1730189036 Anna Hawker Nurse Practitioner 1880 Fillmore Street, Twin Falls, ID 83301-3015 2005-07-28
1194291823 Jennifer Joy Quesnell Nurse Practitioner 775 Pole Line Rd W Ste 105, Twin Falls, ID 83301-5819 2018-10-20
1043730302 Lesley D. Goulding Nurse Practitioner 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301-5823 2017-06-27
1780115048 Casie Spearing Nurse Practitioner 775 Pole Line Rd W, #112, Twin Falls, ID 83301-5814 2017-03-27
1801266572 Marla Jean Van Tassell Nurse Practitioner 414 Shoup Ave W Ste B, Twin Falls, ID 83301-5042 2015-10-06
1053703850 Positive Connections Plus, LLC Nurse Practitioner 1373 Fillmore St, Twin Falls, ID 83301-3392 2015-03-03
1225446180 Jennifer Speicher Jorgensen Nurse Practitioner 1502 Locust St N Ste 700, Twin Falls, ID 83301-4164 2014-07-23
Find all providers in TWIN FALLS

Competitor

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City TWIN FALLS
Zip Code 83301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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