AMANDA SEDORIS (NPI# 1265812739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265812739 |
| Entity Type | Individual |
| Full Name | AMANDA SEDORIS |
| Credential | PA-C |
| Practice Address |
24 Joliet St Dyer IN 46311-1705 |
| Mailing Address |
12234 Shadow Creek Pkwy Ste 4104 Pearland TX 77584-7333 |
| Practice Telephone | 2193225747 |
| Practice Fax Number | 2198642282 |
| Enumeration Date | 2015-05-31 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | 085007135 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 JOLIET ST |
| City | DYER |
| State | IN |
| Zip Code | 46311-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595361 | Harvey Joseph Levin | Surgery | 24 Joliet St, Ste101, Dyer, IN 46311-1705 | 2005-08-22 |
| 1528687274 | Joshua Alexander Mclaughlin | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2020-04-13 |
| 1225689169 | Kayla Marie Ranek | Surgery | 24 Joliet St, Dyer, IN 46311-1705 | 2019-09-23 |
| 1689221061 | Lindsey Marie Kolakoski | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-08-21 |
| 1588225320 | Mindy Ruan | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-24 |
| 1568021434 | Lindsey Marie Kilsdonk | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-13 |
| 1457919292 | Aja Simone Rivera | Registered Nurse | 24 Joliet St, Dyer, IN 46311-1705 | 2019-06-05 |
| 1104387521 | Interventional Spine and Joint Specialists, LLC | Electrodiagnostic Medicine | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-28 |
| 1841751526 | Artinder Preet Nanrhe | Student in an Organized Health Care Education/Training Program | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-26 |
| 1306311865 | Joan Levesque | Counselor | 24 Joliet St, Dyer, IN 46311-1705 | 2018-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338858 | Leena Yousef-diaz | Nurse Practitioner | 1100 Joliet Street Suite #201, Dyer, IN 46311 | 2018-09-02 |
| 1518476639 | Kor Speech Therapy, LLC | Speech-Language Pathologist | 219 Primrose Dr., Dyer, IN 46311 | 2017-09-20 |
| 1861921207 | Derrick Durrah | Counselor | 2615 James Drive, Dyer, IN 46311 | 2017-06-08 |
| 1073962189 | Maria Lule | Pharmacist | 805 Joliet Road, Dyer, IN 46311 | 2016-06-09 |
| 1780072157 | Mario Munoz | Skilled Nursing Facility | 515 Audrey Ct, Dyer, IN 46311 | 2015-01-07 |
| 1457772451 | Lisa Jennifer Mickelson | Registered Nurse | 600 Joliet St., Kahler Middle School, Dyer, IN 46311 | 2013-12-18 |
| 1285055285 | Tanya D Burk-willson | Registered Nurse | 14600 W 81st St., Bibich Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1013338011 | Mary Beth Rinaldi | Registered Nurse | 1121 Harrison Ave, Protsman Elementary, Dyer, IN 46311 | 2013-12-18 |
| 1023448057 | Franciscan Alliance | General Acute Care Hospital | 24 Joliet Street, 3da, Dyer, IN 46311 | 2013-11-12 |
| 1508078239 | Fatima Jaffer Md Sc PC | Internal Medicine | Physicians Pavilion Suite 101, 24 East Joliet Street, Dyer, IN 46311 | 2007-05-04 |
| Find all providers in zip 46311 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083240030 | Chelsea Joyce | Physician Assistant | 86 Yorkville Hwy, Dyer, TN 38330-4004 | 2020-03-20 |
| 1285073841 | Tiffany Erin O'hern | Physician Assistant | 1532 Calumet Ave, Dyer, IN 46311-1505 | 2013-06-17 |
| 1750921862 | Nickolas James Simpson | Physician Assistant | 1123 N Main St, Dyer, TN 38330-1019 | 2020-01-07 |
| 1770952236 | Ashley Ramos | Physician Assistant | 1001 Calumet Ave, Dyer, IN 46311 | 2015-09-15 |
| 1396053641 | Erin Bartels | Physician Assistant | 919 Main St, Ste. 204, Dyer, IN 46311-3717 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133894 | Kaylin Michelle Lapel | Physician Assistant | 1540 Orchard Park Dr N, Carmel, IN 46280-1513 | 2020-11-01 |
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1417555996 | Kathleen Wiles | Physician Assistant | 3805 Pine Creek Cir, New Albany, IN 47150-2057 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1275148421 | James Cameron Fields | Physician Assistant | 532 Bridgestone Dr, Mooresville, IN 46158-7304 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1831702570 | Nathan Dean Hailey | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 247, Avon, IN 46123-6911 | 2020-08-24 |
| 1104438944 | Erin R Griffin | Physician Assistant | 5621 Woodshire Dr Apt 5, Fort Wayne, IN 46835-2959 | 2020-08-22 |
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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.