DR. AMANDA MARIE THOMPSON (NPI# 1063049955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063049955 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE THOMPSON |
| Credential | PHARMD BCPS |
| Practice Address |
301 Becker Ave Sw Willmar MN 56201-3302 |
| Practice Telephone | 3202314914 |
| Practice Fax Number | 3202314850 |
| Mailing Telephone | 3202314914 |
| Mailing Fax Number | 3202314850 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
118928 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| 1205288214 | Amanda Thompson | Speech-Language Pathologist | 8505 W Center St Apt 3, Milwaukee, WI 53222-4757 | 2016-07-01 |
| 1144690413 | Amanda Thompson | Nurse Practitioner | 502 N Dowden Rd, Ste. 105, Wolfforth, TX 79382-5514 | 2015-09-30 |
| 1386011740 | Amanda Thompson | Registered Nurse | 507 Norwest Dr, Norwood, MA 02062-1482 | 2015-09-01 |
| 1043604044 | Amanda M Thompson | Pediatrics | 711 W 40th St Ste 438, Baltimore, MD 21211-2199 | 2015-03-27 |
| 1952706806 | Amanda Thompson | Speech-Language Pathologist | 400 W 64th St, Inglewood, CA 90302-1130 | 2014-11-04 |
| 1306275102 | Amanda Mae Thompson | Home Health Aide | 430 W 28th St, Ashtabula, OH 44004-4976 | 2013-11-02 |
| 1134569593 | Amanda A Thompson | Licensed Practical Nurse | 892 Lorenz Ave, North Baldwin, NY 11510-2821 | 2013-07-01 |
| 1831454834 | Amanda Ann Thompson | Counselor | 766 Roberta St, Salt Lake City, UT 84111-3818 | 2012-07-06 |
| 1760614705 | Amanda L Thompson | Psychologist | 8081 Innovation Park Dr Ste 2201, Fairfax, VA 22031-4867 | 2009-08-09 |
| Street Address |
301 BECKER AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-3302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436059 | Eric Julian Peterson | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2005-06-09 |
| 1831798131 | Nathan Goracke | Pharmacist | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2020-10-19 |
| 1144874157 | Megan J Shelton | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2019-07-29 |
| 1952887531 | Brittany Hattie Frank | Nurse Practitioner | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-07-17 |
| 1003323304 | Kaylene Nichole Hill | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2018-01-08 |
| 1023521572 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1003329574 | Carris Health LLC | Clinic/Center | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1134632680 | Carris Health LLC | Social Worker | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1306359856 | Carris Health LLC | Hospice Care, Community Based | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-07 |
| 1689186207 | Alexandra Malkuch | Nurse Anesthetist, Certified Registered | 301 Becker Ave Sw, Willmar, MN 56201-3302 | 2017-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504139 | Jacob Stevens | Pharmacist | 19216 Freeport Ave, Cub Pharmacy, Elk River, MN 55330 | 2020-07-01 |
| 1215470943 | Kaitlyn Latour | Pharmacist | 3500 County Road 39 Nw, Maple Lake, MN 55358-3019 | 2016-11-29 |
| 1124413604 | Philip Kohls | Pharmacist | 523 Lake Ave, Saint Paul, MN 55110-1631 | 2015-04-01 |
| 1346671112 | Consultant Pharmacists Inc | Pharmacist | 1413 Hoot Lake Dr, Fergus Falls, MN 56537-3953 | 2013-12-04 |
| 1215377650 | Jennifer Ann Marquart | Pharmacist | 15517 Post Rd, Wayzata, MN 55391-2116 | 2013-06-30 |
| 1174860795 | Ruonan Zhang | Pharmacist | 1925 West County Road B2, Roseville, MN 55113 | 2013-01-16 |
| 1265700991 | Ali Mahamud | Pharmacist | 681 Central Ave W, Saint Paul, MN 55104-4821 | 2011-12-08 |
| 1760767834 | Agnes Njema Azeh | Pharmacist | 99 Maryland Ave W, Saint Paul, MN 55117-4528 | 2011-10-19 |
| 1003134495 | Beth J Alexander | Pharmacist | 1302 Palace Ave, Saint Paul, MN 55105-2952 | 2010-05-10 |
| 1225279763 | Rick John Melbye | Pharmacist | 3210 Rivershore Dr, Moorhead, MN 56560-5549 | 2009-03-12 |
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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.