AMANDA WALDEN (NPI# 1346730561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346730561 |
| Entity Type | Individual |
| Full Name | AMANDA WALDEN |
| Credential | NP |
| Practice Address |
9401 Holy Cross Ln Ste 112 Breese IL 62230 |
| Mailing Address |
9401 Holy Cross Ln Ste 112 Breese IL 62230-3510 |
| Practice Telephone | 6185265948 |
| Mailing Telephone | 6185265948 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209016324 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 N 27th St, Belleville, IL 622266621 | 8009799595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1710122700 | Amanda Gail Walden | Counselor | 1458 Cronan Rd, Covington, GA 30016-8955 | 2008-12-05 |
| 1124682349 | Amanda Walden | Nurse Practitioner | 144 S Hillside St, Wichita, KS 67211-2154 | 2019-04-23 |
| 1881038826 | Amanda Lynne Walden | Anesthesiology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2013-04-22 |
| 1922363704 | Amanda Moore Walden | Pharmacist | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2012-07-09 |
| Street Address |
9401 HOLY CROSS LN STE 112 |
| City | BREESE |
| State | IL |
| Zip Code | 62230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326313032 | Meghan M Ziegler | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2012-03-13 |
| 1528616125 | Jessica Lee Greenfield | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2019-08-28 |
| 1730600644 | Jonathan Dennis Hoskins | Family Medicine | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2017-06-30 |
| 1912449968 | Melissa Siebert | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2016-11-08 |
| 1306207139 | Kara Ann Huegen | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2016-03-07 |
| 1356700173 | Kelly Jean Kalmer | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2016-02-22 |
| 1770986010 | Melanie L. Banal | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1821537820 | Talisha Nyman | Nurse Practitioner | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2017-02-23 |
| Find all providers in zip 62230 | ||||
| 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 |
|---|---|---|---|---|
| 1326313032 | Meghan M Ziegler | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2012-03-13 |
| 1528616125 | Jessica Lee Greenfield | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2019-08-28 |
| 1548824592 | Dennis Joseph Riechman | Nurse Practitioner | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2019-04-25 |
| 1912449968 | Melissa Siebert | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2016-11-08 |
| 1770986010 | Melanie L. Banal | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230-3510 | 2014-10-01 |
| 1740588805 | Jaime Lynn Becker | Nurse Practitioner | 9423 Holy Cross Ln, Suite 111, Breese, IL 62230-3510 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.