AMANDA J WIKAN (NPI# 1144576471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144576471 |
| Entity Type | Individual |
| Full Name | AMANDA J WIKAN |
| Credential | RD, LD |
| Practice Address |
40 1st St Se Waukon IA 52172-2022 |
| Mailing Address |
714 W Main St Decorah IA 52101-1626 |
| Practice Telephone | 5635683411 |
| Practice Fax Number | 5635686139 |
| Mailing Telephone | 5634198209 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 002063 | IA | Dietary & Nutritional Service Providers |
| Street Address |
40 1ST ST SE |
| City | WAUKON |
| State | IA |
| Zip Code | 52172-2022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083363 | Jonathan L Hawes | Physician Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2005-06-20 |
| 1609489244 | Austin Troendle | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2020-08-24 |
| 1407401722 | Shelly Valley | Physical Therapy Assistant | 40 1st St Se, Waukon, IA 52172-2022 | 2019-08-04 |
| 1366920803 | Rebecca Booth | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2018-08-06 |
| 1104352327 | Veterans Memorial Hospital | Clinic/Center | 40 1st St Se, Waukon, IA 52172-2022 | 2017-05-08 |
| 1275902322 | Veterans Memorial Hospital-community and Home Care | Nursing Care | 40 1st St Se, Waukon, IA 52172-2022 | 2015-09-18 |
| 1255763892 | Steven Breitenfield | Speech-Language Pathologist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-06 |
| 1710319710 | Dana Wells | Physical Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-08-01 |
| 1134568561 | Tarynne Carlson | Occupational Therapist | 40 1st St Se, Waukon, IA 52172-2022 | 2013-06-19 |
| 1356786081 | Veterans Memorial Hospital-public Health | Public Health or Welfare | 40 1st St Se, Waukon, IA 52172-2022 | 2013-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468026 | Amy Christine Pfiffner | Occupational Therapy Assistant | 201 Second Street Sw, Waukon, IA 52172 | 2009-12-08 |
| 1609098185 | Worth Living Inc. | Assisted Living Facility | 209 2nd Ave Sw, Waukon, IA 52172 | 2007-05-03 |
| 1154478857 | Mosaic | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 12 E Main, Suite 102, Waukon, IA 52172 | 2007-01-04 |
| 1124121710 | Linda Sue Carstens | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-09-07 |
| 1659481752 | Cameron Jon Ochsner | Dentist | 22 E Main, Wankon, IA 52172 | 2006-08-30 |
| 1831144302 | Gundersen Clinic, Ltd. | Durable Medical Equipment & Medical Supplies | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-05-23 |
| 1720173990 | Northeast Iowa Dental Professional Corporation | Dentist | 18 1st Ave Nw, Waukon, IA 52172 | 2006-10-04 |
| 1265472807 | Gundersen Clinic, Ltd. | Optometrist | 120 2nd Avenue Se, Waukon, IA 52172 | 2006-06-08 |
| 1639156987 | Mayo Clinic Health System - Franciscan Medical Center, Inc. | Clinic/Center | 105 East Main Street, Waukon, IA 52172 | 2005-12-28 |
| 1770755928 | Rtg Medical | General Acute Care Hospital | 606 2nd St Nw, Waukon, IA 52172-1026 | 2008-03-27 |
| Find all providers in zip 52172 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585323 | Anne M Blocker | Dietitian, Registered | 20 7th St Nw, Waukon, IA 52172-1530 | 2005-08-19 |
| 1720329097 | Megan Elizabeth Thompson | Dietitian, Registered | 40 1st St Se, Waukon, IA 52172-2022 | 2013-03-11 |
| 1225247133 | Rose Marie Magner | Dietitian, Registered | 40 1st St Se, Waukon, IA 52172-2022 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901803 | Sara Marie Tefft | Dietitian, Registered | 2150 Ne 18th St Unit 96, Grimes, IA 50111-4735 | 2020-10-29 |
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1255938213 | Annette Arnaud Aljets | Dietitian, Registered | 63368 190th Ave, Pomeroy, IA 50575-8051 | 2020-10-02 |
| 1649885724 | Ellen Elizabeth Przybyszewski | Dietitian, Registered | 115 Crystal St Unit 303, Ames, IA 50010-8317 | 2020-09-15 |
| 1528678745 | Laurynn Elizabeth Verry | Dietitian, Registered | 10432 Dorset Dr Unit 17, Johnston, IA 50131-2363 | 2020-08-03 |
| 1679182224 | Allison Ann Hoepker | Dietitian, Registered | 300 Sw 5th St Apt A408, Des Moines, IA 50309-4679 | 2020-07-29 |
| 1124636980 | Lisa Nolting | Dietitian, Registered | 1431 Arthur Dr, Ames, IA 50010-5117 | 2020-07-17 |
| 1083231609 | John Vendelboe Nielsen | Dietitian, Registered | 507 Nw 10th St, Ankeny, IA 50023-4203 | 2020-06-30 |
| 1417596677 | Kylie Regensburger | Dietitian, Registered | 509 Se Michael Dr, Ankeny, IA 50021-6429 | 2020-01-04 |
| 1205475456 | Mackenzie Woolwich | Dietitian, Registered | 225 Prairie View Dr Apt 8235, West Des Moines, IA 50266-7130 | 2020-01-04 |
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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.