AMY BETH BURRELL (NPI# 1104468495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104468495 |
| Entity Type | Individual |
| Full Name | AMY BETH BURRELL |
| Practice Address |
1713 N College Ave Ste 1 Bloomington IN 47404-2479 |
| Mailing Address |
1318 W Kirkwood Ave Bloomington IN 47404-5062 |
| Practice Telephone | 8123373529 |
| Mailing Telephone | 8123252985 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT20902125 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023454196 | Amy H Burrell | Pharmacist | 1310 Short Dr, Amory, MS 38821-1411 | 2013-05-16 |
| 1477114528 | Amy Lola Burrell | Advanced Practice Midwife | 100 Hospital Dr, Hendersonville, NC 28792-5272 | 2019-06-27 |
| 1053718585 | Amy Joy Burrell | Nurse Practitioner | 1111 N Charles St, Baltimore, MD 21201-5505 | 2014-11-26 |
| 1346454758 | Amy M Burrell | Social Worker | 16 Kidspeace Way, Ellsworth, ME 04605-0787 | 2007-05-09 |
| Street Address |
1713 N COLLEGE AVE STE 1 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-2479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174172712 | Paulina M Makowska | Massage Therapist | 1713 N College Ave Ste 1, Bloomington, IN 47404-2479 | 2019-09-06 |
| 1679114193 | Ann Dorwin | Massage Therapist | 1713 N College Ave Ste 1, Bloomington, IN 47404-2479 | 2019-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835242 | Malissa J Knobloch | Massage Therapist | 4 Yount Dr Ste 2, Bloomington, IL 61704-3737 | 2020-06-12 |
| 1326660671 | Aaron L Avalos | Massage Therapist | 303 Turnberry Dr Apt C, Bloomington, IL 61701-1484 | 2020-05-09 |
| 1164043113 | Gwenn None Marie | Massage Therapist | 2416 E Washington St Ste A9, Bloomington, IL 61704-1612 | 2020-04-30 |
| 1316589427 | Kayla Christine Whaley | Massage Therapist | 1713 N College Ave, Bloomington, IN 47404-2478 | 2019-10-09 |
| 1174172712 | Paulina M Makowska | Massage Therapist | 1713 N College Ave Ste 1, Bloomington, IN 47404-2479 | 2019-09-06 |
| 1962065813 | Beth Ann Denniston | Massage Therapist | 341 S Lincoln St Apt 4, Bloomington, IN 47401-2705 | 2019-04-16 |
| 1730652488 | April Dawn Mccloud | Massage Therapist | 800 S College Ave Ste F, Bloomington, IN 47403-2565 | 2019-01-05 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1194104182 | Massage By Megan | Massage Therapist | 409 S Prospect Rd Ste A, Bloomington, IL 61704-4581 | 2015-05-22 |
| 1962746909 | Carol Mathewson | Massage Therapist | 11331 Louisiana Cir, Bloomington, MN 55438-2827 | 2012-11-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
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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.