AMANDA ENSTROM (NPI# 1093119786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093119786 |
| Entity Type | Individual |
| Full Name | AMANDA ENSTROM |
| Credential | M.A., CCC-SLP |
| Practice Address |
3464 Washington Dr Suite 110 Eagan MN 55122-1453 |
| Practice Telephone | 9524604278 |
| Mailing Telephone | 9524604278 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2016-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 9382 | MN | Speech, Language and Hearing Service Providers |
| Street Address |
3464 WASHINGTON DR SUITE 110 |
| City | EAGAN |
| State | MN |
| Zip Code | 55122-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651753 | Alvaro Jesus Jimenez Aguilar | Registered Nurse | 1764 Silver Bell Rd, Eagan, MN 55122 | 2019-01-02 |
| 1194213280 | Amherst H. Wilder Foundation | Lodging | Lincoln Place, 1997 Gold Trail, Eagan, MN 55122 | 2018-04-25 |
| 1831541168 | Mackenzie Lea Kerber | Counselor | 3410 Federal Dr Suite 101, Eagan, MN 55122 | 2016-07-11 |
| 1285010074 | Eagan Pointe Senior Living | Assisted Living Facility | 4232 Black Hawk Road, Eagan, MN 55122 | 2015-08-04 |
| 1700268828 | Kara Beth Rose | Specialist/Technologist | 4560 Cinnamon Ridge Trail, Eagan, MN 55122 | 2015-06-25 |
| 1558740803 | Samuel Johnson | Physician Assistant | 2901 Metro Drive, Suite 527, Bloomington, MN 55122 | 2015-05-20 |
| 1528451028 | Judi Ross Holistic Therapy, LLC | Marriage & Family Therapist | 4141 Old Sibley Memorial Highway, Eagan, MN 55122 | 2015-03-09 |
| 1447649637 | Leah Ruth Streitman | Physician Assistant | 3460 Washington Dr Ste 200, Eagan, MN 55122 | 2015-01-12 |
| 1518362193 | Cedar Valley Center for Child & Family Therapy | Preferred Provider Organization | 3460 Washington Dr., Suite 110, Eagan, MN 55122 | 2014-10-25 |
| 1316351703 | Wecare Dental of Eagan P.c | Clinic/Center | 1625 Lena Court Suite 100, Eagan, MN 55122 | 2014-06-13 |
| Find all providers in zip 55122 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508383 | Kellie Denise Metzger | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2020-11-03 |
| 1073074886 | Samantha Kraus | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2019-03-26 |
| 1477037257 | Kathleen D Moore | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2018-09-18 |
| 1043700040 | Daniel Hatfield | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2018-05-15 |
| 1568962124 | Elizabeth Sarah Johnson | Speech-Language Pathologist | 2795 Pilot Knob Rd Ste 100, Eagan, MN 55121 | 2018-02-20 |
| 1053820431 | Shirin Razavian | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122 | 2017-09-28 |
| 1679090864 | Tressa Theis | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122 | 2017-08-28 |
| 1235655184 | Dana Swanson | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2017-08-22 |
| 1760926661 | Aaron Pope | Speech-Language Pathologist | 3305 Central Park Village Dr, Eagan, MN 55121-7707 | 2016-12-12 |
| 1457893307 | Amber Petereck | Speech-Language Pathologist | 2030 Rahn Way, Eagan, MN 55122-2300 | 2016-11-09 |
| Find all providers in EAGAN | ||||
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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.