AMANDA GAIL IMPELLUSO (NPI# 1073162178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073162178 |
Entity Type | Individual |
Full Name | AMANDA GAIL IMPELLUSO |
Credential | ARNP |
Practice Address |
737 N Highway St Oakland IA 51560 |
Mailing Address |
4711 Golf Rd Ste 1250 Skokie IL 60076-1232 |
Practice Telephone | 7124826403 |
Mailing Telephone | 8472356130 |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A128130 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4711 Golf Rd, Skokie, IL 600761224 | 8472356130 |
Street Address |
737 N HIGHWAY ST |
City | OAKLAND |
State | IA |
Zip Code | 51560 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083924211 | Elizabeth Diane Thielen | Physical Therapy Assistant | 737 N Highway St, Oakland, IA 51560-4532 | 2010-10-21 |
1831557396 | Suzanne Marie Johns | Occupational Therapy Assistant | 737 N Highway St, Oakland, IA 51560-4075 | 2016-01-29 |
1093015547 | Oakland Healthcare Management | Skilled Nursing Facility | 737 N Highway St, Oakland, IA 51560-4532 | 2010-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437212149 | Oakland Pharmacy Inc | Pharmacy | 601 Pioneer Ave, Oakland, IA 51560 | 2006-12-18 |
1497824841 | City of Oakland | Ambulance | 218 Oakland Ave., Oakland, IA 51560 | 2006-11-07 |
1588721401 | Charles Pigneri | Family Medicine | 110 N Main St., Oakland, IA 51560 | 2007-01-02 |
1184703159 | Terri S Clark | Technician/Technologist | 406 Highway 6 South, Oakland, IA 51560-0323 | 2006-11-02 |
1316976491 | Colonial Manors of Oakland, Iowa, Inc. | Nursing Facility/Intermediate Care Facility | 737 North Hiway, Oakland, IA 51560-0459 | 2006-07-01 |
1548514763 | Timothy J. Lenaghan | Dentist | 406 S. Dr. Van Zee Rd., Oakland, IA 51560-0547 | 2012-11-09 |
1164648085 | Oakland Heights | Assisted Living Facility | 904 N Scenic Dr, Oakland, IA 51560-4070 | 2007-04-18 |
1558343541 | Timothy J Lenaghan Dds | Dentist | 320 Oakland Ave, Oakland, IA 51560-4078 | 2005-11-16 |
1780731828 | Janice Lawrence | Physician Assistant | 110 N Main St, Oakland, IA 51560-4181 | 2007-01-04 |
1629588587 | Pottawattamie County Sports and Family Chiropractic | Chiropractor | 101 N Main St Ste 3, Oakland, IA 51560-4356 | 2017-10-05 |
Find all providers in zip 51560 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639777386 | Jonathan Josue Grijalva | Nurse Practitioner | 1909 White Feather Loop, Oakland, FL 34787-8127 | 2020-10-14 |
1790313047 | Macy Sun | Nurse Practitioner | 1806 9th Ave, Oakland, CA 94606-3020 | 2020-03-31 |
1073157756 | Theola J Rivera | Nurse Practitioner | 889 Wynstone Cir N, Oakland, MI 48363-1605 | 2019-11-05 |
1326692211 | Shanna Lee | Nurse Practitioner | 35 Buena Vista Pl, Oakland, CA 94618-2132 | 2019-07-29 |
1184287682 | Kristine Dionne Williams | Nurse Practitioner | 3847 Rhoda Ave, Oakland, CA 94602-3322 | 2019-04-19 |
1346702404 | Whitney Karr | Nurse Practitioner | 65 Thousand Oaks St, Oakland, CA 94605-4618 | 2019-04-05 |
1982104360 | Brandi Sue Paugh | Nurse Practitioner | 241 N 4th St, Oakland, MD 21550-1375 | 2018-02-13 |
1164930533 | Brookside Health & Wellness LLC | Nurse Practitioner | 6500 Thayer Center, Oakland, MD 21550-1116 | 2018-01-18 |
1356870315 | Ayelet Cohen | Nurse Practitioner | 333 Park View Ter Apt 2, Oakland, CA 94610-4646 | 2017-06-05 |
1679014534 | Priscilla Beach Brown | Nurse Practitioner | 138 Monte Cresta Ave Apt 206, Oakland, CA 94611-4805 | 2017-03-12 |
Find all providers in OAKLAND |
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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.