AMANDA ANN FARRELL (NPI# 1124451414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124451414 |
| Entity Type | Individual |
| Full Name | AMANDA ANN FARRELL |
| Other Name | AMANDA A JOYCE |
| Credential | APRN |
| Practice Address |
N2950 State Road 67 Lake Geneva WI 53147-2655 |
| Practice Telephone | 2622454990 |
| Practice Fax Number | 2622452248 |
| Mailing Telephone | 2622454990 |
| Mailing Fax Number | 2622452248 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 194211-30 | WI | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 7219-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528509668 | Amanda Lynn Farrell | Pharmacy Technician | 6510 Cedar Lake Rd S, St Louis Park, MN 55426-2811 | 2017-03-08 |
| 1457743890 | Amanda Marie Farrell | Massage Therapist | 1400 W 122nd Ave, Suite 107, Westminster, CO 80234-3495 | 2015-02-23 |
| 1588199657 | Amanda Lauren Farrell | Nurse Practitioner | 350 Country Club Dr, Stockbridge, GA 30281-9084 | 2017-04-26 |
| 1790233641 | Amanda Farrell | Nurse Practitioner | 155 S Madison St, #328, Denver, CO 80209-3011 | 2016-09-20 |
| 1205384369 | Amanda Farrell | Specialist | 44 Portwest Ct, Saint Charles, MO 63303-5985 | 2016-09-19 |
| 1134525603 | Amanda Farrell | Occupational Therapy Assistant | 1400 Division St, Oregon City, OR 97045-1525 | 2014-11-11 |
| 1053713990 | Amanda Farrell | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2014-09-23 |
| 1023433877 | Amanda M Farrell | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2014-03-03 |
| 1871809517 | Amanda Farrell | Physician Assistant | 103 Garland St, Everett, MA 02149 | 2010-08-19 |
| 1053503375 | Amanda Frances Farrell | Social Worker | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2007-08-10 |
| Street Address |
N2950 STATE ROAD 67 |
| City | LAKE GENEVA |
| State | WI |
| Zip Code | 53147-2655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386631281 | Shweta Pearlstein | Anesthesiology | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2005-10-05 |
| 1154928547 | Jessica M Grubb | Occupational Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2020-10-08 |
| 1063072650 | Madalyn R Douglas | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2019-06-17 |
| 1013421908 | Ashley E. Boro | Occupational Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-11-30 |
| 1447776950 | Stefanie N Droese | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-16 |
| 1427573773 | Andrea M. Lysaght | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-08 |
| 1265956288 | Kyle C. Janicke | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-08-01 |
| 1164952891 | Carling M. Johns | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-06-15 |
| 1730615030 | Deborah Lynn Young | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-05-04 |
| 1386180255 | Shelly M Weis | Physical Therapist | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951206 | Emily Tanis | Physical Therapist | 6722 Wi-50, Lake Geneva, WI 53147 | 2020-08-05 |
| 1588295653 | Baylee M Noe | Occupational Therapy Assistant | Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 | 2020-01-28 |
| 1124539556 | Roxanne Weber | Registered Nurse | 146 E. Geneva Square, Lake Geneva, WI 53147 | 2017-10-12 |
| 1386969400 | Emily Kathleen Wilczak | Surgery | N2950 Wi-67, Lake Geneva, WI 53147 | 2010-03-31 |
| 1538294020 | Dale Alan Miller | Pharmacist | 2950 St. Hwy. 67, Lake Geneva, WI 53147 | 2007-02-23 |
| 1689779902 | Balistreri & Associates Physical Therapy | Physical Therapist | 902 Wells Street, Lake Geneva, WI 53147 | 2006-09-13 |
| 1336157981 | Nestor C Alabarca | Internal Medicine | 146 E Geneva Square, Lake Geneva, WI 53147 | 2006-08-03 |
| 1144259375 | Kim M. Cuculi | Occupational Therapist | 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 | 2006-07-01 |
| 1396253571 | Amar Y. Patel | Family Medicine | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2018-01-22 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| Find all providers in zip 53147 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285135467 | Millicent Joanna Doud | Nurse Practitioner | Lake Geneva 146 E Geneva Square, Lake Geneva, WI 53157 | 2018-02-23 |
| 1588219679 | Shawn M Stemper | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2019-08-06 |
| 1336686211 | Ashley L Vos | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2017-01-30 |
| 1679017925 | Christina L. Clancy | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2016-12-06 |
| 1033593918 | Crystal J Dillett | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-07-10 |
| 1538551254 | Darcey Jo Bedward | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2015-03-04 |
| 1063761724 | Kelly N Billingsley | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2012-09-10 |
| 1518152727 | Anita M Batten | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147-9694 | 2007-09-11 |
| 1669589529 | Kimberly S Wendt | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2006-08-24 |
| 1962410530 | Nancy S Asencio | Nurse Practitioner | 146 E Geneva Sq, Lake Geneva, WI 53147 | 2006-08-03 |
| Find all providers in LAKE GENEVA | ||||
| City | LAKE GENEVA |
| Zip Code | 53147 |
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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.