AMANDA WALDEN (NPI# 1124682349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124682349 |
| Entity Type | Individual |
| Full Name | AMANDA WALDEN |
| Credential | APRN |
| Practice Address |
144 S Hillside St Wichita KS 67211-2154 |
| Practice Telephone | 3166829900 |
| Practice Fax Number | 3166820311 |
| Mailing Telephone | 3166829900 |
| Mailing Fax Number | 3166820311 |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
53-78691 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | LICENSE | 53-78691 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1710122700 | Amanda Gail Walden | Counselor | 1458 Cronan Rd, Covington, GA 30016-8955 | 2008-12-05 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| 1881038826 | Amanda Lynne Walden | Anesthesiology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-04-22 |
| 1922363704 | Amanda Moore Walden | Pharmacist | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2012-07-09 |
| Street Address |
144 S HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67211-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225034614 | Claudia A Lawn | Radiology | 144 S Hillside St, Wichita, KS 67211-2154 | 2005-06-22 |
| 1215593249 | Holy Family Medical Inc | Family Medicine | 144 S Hillside St, Wichita, KS 67211-2154 | 2019-05-15 |
| 1124596887 | Diana C Oltean | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2018-11-10 |
| 1952801201 | Cheriana Robinson | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2018-02-13 |
| 1124477245 | Jessica Marean | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2016-06-09 |
| 1942634019 | Julie A Weber | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2013-08-26 |
| 1740613462 | Christine Elizabeth Stearman | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2013-08-16 |
| 1720428535 | Ashley K Dwyer | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2013-06-26 |
| 1356649552 | Holy Family Medical Associates LLC | Physician Assistant | 144 S Hillside St, Wichita, KS 67211-2154 | 2011-03-11 |
| 1285894709 | Emily Ruth Runyan | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386162683 | Karlee Dawn Gluszek | Specialist/Technologist | 1947 S Lulu St, Wichita, KS 67211 | 2017-09-07 |
| 1780139659 | Jaclyn Blyholder | Dentist | 639 S. Hillside, Wichita, KS 67211 | 2016-08-22 |
| 1356715379 | Revitalize Physical Therapy LLC | Physical Therapist | 227 S Ida St, Wichita, KS 67211 | 2015-11-16 |
| 1750753232 | Accurate Sleep Lab | Clinical Medical Laboratory | 411 S Pattie St Suite 2, Wichita, KS 67211 | 2015-10-23 |
| 1841628013 | Joseph Michael Stech | Family Medicine | 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 | 2013-10-24 |
| 1902166648 | Debby Elwood | Counselor | 830 S. Hillside, Wichita, KS 67211 | 2012-05-28 |
| 1205038726 | Patricia (pat) J. Eagleman | Social Worker | 333 S. Greenwood, Wichita, KS 67211 | 2007-06-05 |
| 1114147717 | Rodolfo A Argosino Md Pa | Family Medicine | 1148 S Hillside, 106, Wichita, KS 67211 | 2007-04-26 |
| 1801911086 | Susan Wright Rockley | Physical Therapist | 2535 East Lincoln, Wichita, KS 67211 | 2007-03-20 |
| 1578618021 | Dependable Assisted Living | Home Health | 401 S Greenwood St, Wichita, KS 67211 | 2007-01-24 |
| Find all providers in zip 67211 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336643691 | Jennifer Whitney Jensen | Nurse Practitioner | 1010 N Kansas St Ste 3054, Wichita, KS 67214-3124 | 2018-03-21 |
| 1255564357 | Stacey D. Howell | Nurse Practitioner | 550 N. Hillside, Ku Wichita Pediatric Hospitalists, Wichita, KS 67214 | 2009-08-24 |
| 1316004765 | Ruth H Oliverson | Nurse Practitioner | 9825 E Shannon Woods Cir, Wichita, KS 67226-4100 | 2007-01-03 |
| 1407869126 | Sharon R Tyson | Nurse Practitioner | 9825 E Shannon Woods, Wichita, KS 67226-4100 | 2006-08-14 |
| 1912999020 | Cynthia Marie Pinkerton | Nurse Practitioner | 3610 E Ross Pkwy, Wichita, KS 67210-1311 | 2005-08-16 |
| 1265437123 | Kathy A Hewett | Nurse Practitioner | 620 N Carriage Pkwy, Wichita, KS 67208-4501 | 2005-06-16 |
| 1033113576 | Jenny S Ecord | Nurse Practitioner | 3243 E Murdock St, Wichita, KS 67208-3052 | 2005-06-13 |
| 1336591049 | Amanda Gail Divine | Nurse Practitioner | 8725 E 32nd St N, Wichita, KS 67226-4008 | 2016-07-06 |
| 1083002984 | Courtney Friesen | Nurse Practitioner | 550 N Hillside St, Building 1, 6th Floor, Wichita, KS 67214-4910 | 2014-12-30 |
| 1437570108 | Wendy Mosiman | Nurse Practitioner | 929 N Saint Francis St, Pediatrics, Wichita, KS 67214-3821 | 2013-12-26 |
| Find all providers in WICHITA | ||||
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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.