AMANDA M CLOUSER (NPI# 1164087276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164087276 |
| Entity Type | Individual |
| Full Name | AMANDA M CLOUSER |
| Practice Address |
315 W Carpenter St Fl 1 Springfield IL 62702-4901 |
| Mailing Address |
Po Box 19678 Springfield IL 62794-9678 |
| Practice Telephone | 2175458000 |
| Practice Fax Number | 2175451141 |
| Mailing Telephone | 2175458000 |
| Mailing Fax Number | 2175451141 |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 041430883 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE | 041430883 | 01 |
| Street Address |
315 W CARPENTER ST FL 1 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-4901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865294 | Meghna Ramesh Desai | Internal Medicine | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2005-10-17 |
| 1144665993 | Mehul Alkesh Trivedi | Clinical Neuropsychologist | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2013-05-07 |
| 1912160151 | Ruchika Goel | Pathology | 315 W Carpenter St Fl 1, Springfield, IL 62702 | 2008-07-08 |
| 1821191594 | Ping Zhang | Nurse Practitioner | 315 W Carpenter St Fl 1, Springfield, IL 62702-4901 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519273 | Lisa Crowley | Registered Nurse | 4421 S Hemlock Ave, Springfield, MO 65810-1086 | 2020-08-18 |
| 1104448216 | Kathleen Gail Newell-lewis | Registered Nurse | 2345 E. Cherokee, Springfield, MO 65803 | 2020-05-12 |
| 1215564612 | Andrae Davey | Registered Nurse | 39 Montrose St, Springfield, MA 01109-3048 | 2020-03-25 |
| 1619509544 | Jacolyn Su Lorenzo | Registered Nurse | 210 W Sunshine St # F, Springfield, MO 65807-2655 | 2020-02-08 |
| 1164053997 | Jill A. King | Registered Nurse | 10 Lincoln Street, Springfield, VT 05156-2226 | 2020-01-30 |
| 1891326955 | Tabitha Spring Goodin | Registered Nurse | 594 Hamilton St, Springfield, OR 97477-3609 | 2020-01-28 |
| 1548827363 | Marsha Fry | Registered Nurse | 307 Park St, Springfield, ME 04487-4516 | 2019-05-28 |
| 1225599756 | Jane Ann Imbery | Registered Nurse | 1267 Avenue A Lot 113, Springfield, MI 49037-7675 | 2019-03-27 |
| 1821568965 | Juanita Ann Carriveau | Registered Nurse | 1181 S 41st St, Springfield, OR 97478-6522 | 2018-12-02 |
| 1952803108 | Michelle Nilsen | Registered Nurse | 3355 Riverbend Dr # 510, Springfield, OR 97477-8800 | 2018-03-04 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
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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.