ALISHA AMENDT (NPI# 1114003027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114003027 |
| Entity Type | Individual |
| Full Name | ALISHA AMENDT |
| Credential | CRNP |
| Practice Address |
100 E Lancaster Ave Ste 256 Wynnewood PA 19096-3432 |
| Practice Telephone | 4845726300 |
| Practice Fax Number | 4845726305 |
| Mailing Telephone | 4845726300 |
| Mailing Fax Number | 4845726305 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
SP009200 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3400 Civic Center Blvd, 2nd Floor, South Pavilion, Philadelphia, PA 191045127 | 2156623606 |
| Street Address |
100 E LANCASTER AVE STE 256 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912206301 | Gaurav Jain | Neurological Surgery | 100 E Lancaster Ave Ste 256, Wynnewood, PA 19096 | 2011-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558784124 | Jennifer Gill | Nurse Practitioner | 100 E Lancaster Ave Ste 330, Wynnewood, PA 19096-3443 | 2014-02-01 |
| 1093029738 | Bridget E Suranie | Nurse Practitioner | 100 E. Lancaster Ave, Jd Lankenau Pavilion, Mezzanine, Wynnewood, PA 19096-3450 | 2010-08-05 |
| 1548778483 | Angie Treacy | Nurse Practitioner | 100 E Lancaster Ave Ste 4303, Wynnewood, PA 19096 | 2018-01-12 |
| 1225450950 | Jennifer C Fox | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2014-01-15 |
| 1104257872 | Meghan Presley | Nurse Practitioner | 100 E Lancaster Ave, 3rd Floor Rosengarten Building, Wynnewood, PA 19096-3450 | 2013-12-06 |
| 1508104043 | Main Line Oncology Hematology Assoc | Nurse Practitioner | 100 E Lancaster Ave, Cancer Center, Wynnewood, PA 19096-3450 | 2013-01-17 |
| 1134495476 | Katherine Elizabeth Burghart | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2012-03-30 |
| 1447532643 | Nola Chung | Nurse Practitioner | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2011-09-13 |
| 1669771176 | Leslie Lynch | Nurse Practitioner | 100 E Lancaster Ave, Suite 261, Mob East Lmc, Wynnewood, PA 19096 | 2011-03-23 |
| 1013210764 | Melinda R Milliken | Nurse Practitioner | 100 Lancaster Avenue, Suite 230, Wynnewood, PA 19096 | 2010-12-17 |
| Find all providers in WYNNEWOOD | ||||
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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.