AMANDA AMOS (NPI# 1194349100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194349100 |
| Entity Type | Individual |
| Full Name | AMANDA AMOS |
| Credential | BA |
| Practice Address |
2103 County Road D E Ste B Maplewood MN 55109-5358 |
| Mailing Address |
1907 Eustis St Lauderdale MN 55113-5105 |
| Practice Telephone | 6517485019 |
| Mailing Telephone | 6512313782 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407403520 | Amanda Marie Amos | Behavior Technician | 1901 Royal Oaks Dr Ste 201, Sacramento, CA 95815-4235 | 2019-08-22 |
| 1033439278 | Amanda Amos | Specialist | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2010-06-10 |
| 1285898734 | Amanda Amos | Marriage & Family Therapist | 5030 El Camino Ave, Carmichael, CA 95608-4650 | 2008-07-14 |
| Street Address |
2103 COUNTY ROAD D E STE B |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184005621 | Kristina Ness | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2015-06-10 |
| 1376082701 | Emary Lee | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2017-02-17 |
| 1558813535 | Margaret Whipple | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-10-26 |
| 1487104519 | Alison Lundberg | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-10-13 |
| 1093164378 | Joel Lambrides | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-06-08 |
| 1477914075 | Jillian Celestino | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-03-10 |
| 1194182667 | Mirlie Abraham | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-01-28 |
| 1811354491 | Daniel Hallbeck | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2016-01-27 |
| 1467827279 | Mary Emmeck | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2015-12-04 |
| 1124490198 | Hannah Monson | Counselor | 2103 County Road D E Ste B, Maplewood, MN 55109-5358 | 2015-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1821252305 | Manli Jiang | Student in an Organized Health Care Education/Training Program | 2785 White Bear Ave, Ste 108 B, Maplewood, MN 55109 | 2008-07-15 |
| 1992363030 | Nnenna Mary Emeghara | Student in an Organized Health Care Education/Training Program | 21 Union Ave, Maplewood, NJ 07040-1513 | 2019-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921047 | Liesa Clare Erickson | Student in an Organized Health Care Education/Training Program | 100 Elizabeth St Apt 416, Duluth, MN 55803-2643 | 2020-10-29 |
| 1639779804 | Chelsie Meemken | Student in an Organized Health Care Education/Training Program | 505 Bluebird Ct, Sartell, MN 56377-1633 | 2020-10-27 |
| 1134729486 | Anna R Spiczka | Student in an Organized Health Care Education/Training Program | 10689 108th Ave N, Hanover, MN 55341-4124 | 2020-10-27 |
| 1558961003 | Maren Elizabeth Iverson | Student in an Organized Health Care Education/Training Program | 1 Veterans Dr # 160, Minneapolis, MN 55417-2309 | 2020-10-26 |
| 1275132003 | Faizo A Hersi | Student in an Organized Health Care Education/Training Program | 9700 International Dr Suite 300, Bloomington, MN 55425 | 2020-10-22 |
| 1467059048 | Ashli Willow Boehm | Student in an Organized Health Care Education/Training Program | 1920 Turning Leaf Ln Sw, Alexandria, MN 56308-4662 | 2020-10-06 |
| 1174130421 | Carolyne Copley | Student in an Organized Health Care Education/Training Program | 226 2nd St Sw, Rochester, MN 55905-0001 | 2020-09-29 |
| 1023624483 | Katherine Hailey Lake | Student in an Organized Health Care Education/Training Program | 16415 Temple Dr, Minnetonka, MN 55345-3431 | 2020-09-21 |
| 1235745027 | Andrew Ryan Mcnamara | Student in an Organized Health Care Education/Training Program | 1015 Lowry Ave Ne Apt 3, Minneapolis, MN 55418-3727 | 2020-09-17 |
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
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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.