AMANDA DECKER (NPI# 1053779769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053779769 |
| Entity Type | Individual |
| Full Name | AMANDA DECKER |
| Practice Address |
3102 25th St Sw Waverly MN 55390-5043 |
| Practice Telephone | 6127029300 |
| Mailing Telephone | 6127029300 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L074677-5 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679043715 | Amanda M. Decker | Dietitian, Registered | 9709 Lincoln Hwy, Bedford, PA 15522-3717 | 2018-12-02 |
| 1144711680 | Amanda Decker | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2018-05-21 |
| 1396756359 | Amanda Sue Decker | Pharmacist | 1232 Branson Hills Pkwy, Ste 205, Branson, MO 65616-9943 | 2006-08-11 |
| 1467482802 | Amanda S Decker | Nurse Practitioner | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2000 | 2006-07-03 |
| Street Address |
3102 25TH ST SW |
| City | WAVERLY |
| State | MN |
| Zip Code | 55390-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255728366 | Doty Mosford | Homeopath | 505 Maple Ave, Waverly, MN 55390 | 2015-04-16 |
| 1831227214 | Adjust To Wellness, Pllc | Chiropractor | 202 5t Street N, Waverly, MN 55390 | 2007-02-28 |
| 1881721538 | Sarah Suzann Bartosch | Chiropractor | 202 5th Street N, Waverly, MN 55390 | 2007-02-28 |
| 1134630734 | New Beginnings Minnesota LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390 | 2017-10-23 |
| 1881211951 | Nordell Family Services LLC | Foster Care Agency | 4626 20th St Sw, Waverly, MN 55390-5004 | 2020-07-06 |
| 1831590124 | Andrea Zitzloff | Massage Therapist | 5258 20th St Sw, Waverly, MN 55390-5024 | 2014-09-06 |
| 1033556576 | April Marie Westermann | Physical Therapy Assistant | 4875 25th St Sw, Waverly, MN 55390-5025 | 2013-05-23 |
| 1336469774 | Cindy Grangroth | Respite Care | 5244 25th St Sw, Waverly, MN 55390-5025 | 2010-06-08 |
| 1225427354 | Timarie Leahy | Registered Nurse | 3664 Clementa Ave Sw, Waverly, MN 55390-5404 | 2015-01-13 |
| 1003914656 | New Beginings At Waverly, LLC | Substance Abuse Rehabilitation Facility | 109 N Shore Dr, Waverly, MN 55390-5517 | 2006-09-20 |
| Find all providers in zip 55390 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
| 1891303442 | Wendy Jean Lougher | Licensed Practical Nurse | 441 Pennsylvania Ave, Waverly, NY 14892-1451 | 2020-07-20 |
| 1841820818 | Wendy Michelle Rogers | Licensed Practical Nurse | 428 Loder St, Waverly, NY 14892-1305 | 2020-01-18 |
| 1205342136 | Criston B Evans | Licensed Practical Nurse | 14532 Us Highway 23, Waverly, OH 45690 | 2017-12-14 |
| 1467963249 | Kayla J Arrowood | Licensed Practical Nurse | 14532 Us Rt 23, Waverly, OH 45690 | 2017-10-19 |
| 1790294460 | Adam Tyler Kurtz | Licensed Practical Nurse | 14574 Us Rt 23, Waverly, OH 45690 | 2017-09-26 |
| 1851823652 | Deidre Yinger | Licensed Practical Nurse | 306 Armstrong Hollow Rd, Waverly, OH 45690-9124 | 2017-03-30 |
| 1891108833 | Kristi Fyffe | Licensed Practical Nurse | 2720 Mount Tabor Rd, Waverly, OH 45690-9162 | 2014-06-06 |
| 1780020917 | Connie Gullett | Licensed Practical Nurse | 231 Saint Marys Ln, Waverly, OH 45690-1052 | 2013-05-14 |
| 1326301458 | Gwendolyn Lea Evans | Licensed Practical Nurse | 178 Mill Run Rd, Lot # 136, Waverly, OH 45690-9392 | 2012-06-22 |
| Find all providers in WAVERLY | ||||
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| 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.