AMANDA S WILES (NPI# 1144568767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144568767 |
| Entity Type | Individual |
| Full Name | AMANDA S WILES |
| Credential | NP-C |
| Practice Address |
904 5th Ave Ne Jamestown ND 58401-3437 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012534000 |
| Mailing Telephone | 7012342119 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2014-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2013001306 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
R39620 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 84313 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487148573 | Amanda Wiles | Occupational Therapist | 108 Patriot Dr Ste A, Middletown, DE 19709-8803 | 2018-06-21 |
| 1477924447 | Amanda Kay Wiles | Counselor | 3391 Apple Cross Pl, Las Cruces, NM 88005-3714 | 2015-10-15 |
| 1427251693 | Amanda O Wiles | Marriage & Family Therapist | 2502 Crossroads Dr, Ardmore, OK 73401-2503 | 2007-06-06 |
| Street Address |
904 5TH AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568449114 | Debra A Geier | Internal Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2005-12-26 |
| 1437693009 | Mollie Merriam | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2016-12-15 |
| 1083021059 | Brittany Gannarelli | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2014-07-22 |
| 1275973091 | Justin Jackson Rosenau | Family Medicine | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2013-06-25 |
| 1124308465 | Sanford Medical Center Fargo | Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-08-18 |
| 1962797902 | Wendy L Hager | Dietary Manager | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2011-06-17 |
| 1447564729 | Erin A Nieland | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-07-29 |
| 1194045963 | Leann Marie Cimbura | Physical Therapist | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-06-03 |
| 1679891907 | Patrick Roger Walter | Physician Assistant | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-05-11 |
| 1891019626 | Gary A Matthys Md Plc | Orthopaedic Surgery | 904 5th Ave Ne, Jamestown, ND 58401-3437 | 2010-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 363LX0106X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Occupational Health |
| Definition to come... |
Please comment or provide details below to improve the information on AMANDA S WILES.
| 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.