AMANDA K KEOGH (NPI# 1225348824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225348824 |
| Entity Type | Individual |
| Full Name | AMANDA K KEOGH |
| Credential | ANP-BC |
| Practice Address |
255 No Smith Ave #100 St. Paul MN 55102 |
| Practice Telephone | 6512415000 |
| Practice Fax Number | 6512417678 |
| Mailing Telephone | 6512415000 |
| Mailing Fax Number | 6512417678 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R175452-0 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
255 NO SMITH AVE #100 |
| City | ST. PAUL |
| State | MN |
| Zip Code | 55102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623366 | Ning Wu | Acupuncturist | Tcm Health Center, 613 Grand Ave., St. Paul, MN 55102 | 2019-11-07 |
| 1730730615 | Tianwei Guo | Acupuncturist | 613 Grand Avenue, Saint Paul, MN 55102 | 2019-09-23 |
| 1194374850 | Justin Crawford Diehl | Counselor | 976 Juno Avenue, Saint Paul, MN 55102 | 2019-09-05 |
| 1699329169 | Elisabeth Johanna Wurtmann | Genetic Counselor, MS | 310 N Smith Avenue Suite 300, Saint Paul, MN 55102 | 2019-08-01 |
| 1265907083 | Lillia Budd | Nurse Practitioner | 225 Smith Ave N - Suite 400, Mail Route 65400, Saint Paul, MN 55102 | 2018-10-08 |
| 1922505098 | Women of Nations | Substance Abuse Rehabilitation Facility | 73 Leech Street, St. Paul, MN 55102 | 2018-04-06 |
| 1609371939 | Courtney Marie Klinkhammer | Student in an Organized Health Care Education/Training Program | 1026 West Seventh Street, St. Paul, MN 55102 | 2018-03-28 |
| 1427429372 | Compass Pathology and Consulting | Clinical Medical Laboratory | 360 Sherman St Suite 400b, St. Paul, MN 55102 | 2015-10-16 |
| 1639550494 | Daniel Delapp | Speech-Language Pathologist | United Hospital 333 Smith Avenue N, Mail Route 60104, St. Paul, MN 55102 | 2015-06-17 |
| 1124419940 | Suzanne Carl | Speech-Language Pathologist | 360 Colborne Avenue, St. Paul, MN 55102 | 2015-02-16 |
| Find all providers in zip 55102 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255583449 | Suzanne Elizabeth Trunnell | Nurse Practitioner | 1020 Bandana Blvd. W, Aspen Medical Group--bandana Square, St. Paul, MN 55108 | 2008-10-21 |
| 1811002264 | Glenda Jean Morris | Nurse Practitioner | 45 West 10th Street, St. Paul, MN 55102 | 2006-08-19 |
| 1427026426 | Jennifer M Johnson | Nurse Practitioner | 640 Jackson St - Mc11108b, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-03-08 |
| 1962474015 | Mary J Schwanke | Nurse Practitioner | 451 North Dunlap St - Mail Stop 32700a, Healthpartners Midway Clinic, St. Paul, MN 55104-4621 | 2006-02-03 |
| 1134499783 | Heather Ann Naylor | Nurse Practitioner | 200 University Ave E, St. Paul, MN 55101-9023 | 2012-01-12 |
| 1659542835 | Anna Maria Napiwocki | Nurse Practitioner | 345 North Smith Avenue, Children's Health Care, St. Paul, MN 55102-2346 | 2008-03-17 |
| 1841477650 | Lori A Ranney | Nurse Practitioner | 347 North Smith Avenue, St. Paul, MN 55102-2346 | 2008-01-23 |
| 1538202759 | Jana M Ostrand | Nurse Practitioner | 401 Phalen Boulevard, St. Paul, MN 55130-5302 | 2007-02-15 |
| 1699749630 | Shelley A Bratholdt | Nurse Practitioner | 205 S Wabasha St, Healthpartners St. Paul Urgent Care, St. Paul, MN 55107-1805 | 2006-02-15 |
| 1184698557 | Judith A Wulf | Nurse Practitioner | 401 Phalen Boulevard, St. Paul, MN 55130-5302 | 2006-02-14 |
| Find all providers in ST. PAUL | ||||
Please comment or provide details below to improve the information on AMANDA K KEOGH.
| 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.