AMANDA JEAN LUECK (NPI# 1316347313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316347313 |
| Entity Type | Individual |
| Full Name | AMANDA JEAN LUECK |
| Other Name | AMANDA JEAN COTTER |
| Credential | MSN, AGPCNP |
| Practice Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6516359173 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5414 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55102-2344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316930456 | Jorge Antonio Ferreiro | Pathology | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2005-08-24 |
| 1487278214 | Rachel Rubatt | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-06-08 |
| 1831712439 | Anna Dittmann | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-19 |
| 1710508270 | Lisa Anne Paradiso | Dietitian, Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-05-06 |
| 1467073718 | Michelle Schierts | Speech-Language Pathologist | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-28 |
| 1629607254 | Salvum Anesthesia | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-04-06 |
| 1316575137 | Michelle Bencriscutto-synstelien | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-28 |
| 1235765611 | Lexi Mae Ternes | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-03-18 |
| 1154954717 | Jenna Marie Benzinger Tabet | Registered Nurse | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-21 |
| 1932732252 | Brian Charles Nye | Nurse Anesthetist, Certified Registered | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2020-02-14 |
| Find all providers in the same location | ||||
| 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 | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538573449 | Rebecca Anne Lenz | Nurse Practitioner | 1172 Randolph Ave Apt 8, Saint Paul, MN 55105-2987 | 2014-06-18 |
| 1720016660 | Sasenarine Singh | Nurse Practitioner | 1690 University Ave W Ste 115, Saint Paul, MN 55104-3118 | 2006-06-29 |
| 1528043171 | Kathryn I Kreslins | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2005-12-07 |
| 1508397290 | Shannon Marie Mooney | Nurse Practitioner | 45 10th St W, Saint Paul, MN 55102-1062 | 2017-03-23 |
| 1700215001 | Jenifer Wynne | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2013-11-06 |
| 1215365606 | Maria Tarlue Keita | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2013-10-22 |
| 1164702742 | Kelli A Petersen | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2011-08-26 |
| 1750684049 | Lisa Marie Terhaar | Nurse Practitioner | 1055 Westgate Dr, Suite 100, Saint Paul, MN 55114-1065 | 2010-12-08 |
| 1649438417 | Momodou Ceesay | Nurse Practitioner | 1021 Bandana Blvd E, Suite 214, Saint Paul, MN 55108-5113 | 2008-05-29 |
| 1013067610 | Kathleen Annette Keogh | Nurse Practitioner | 1055 Westgate Dr, Saint Paul, MN 55114-1065 | 2007-01-12 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55102 |
Please comment or provide details below to improve the information on AMANDA JEAN LUECK.
| 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.