AMANDA HALLQUIST (NPI# 1396247789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396247789 |
| Entity Type | Individual |
| Full Name | AMANDA HALLQUIST |
| Credential | NP |
| Practice Address |
21700 Intertech Dr Brookfield WI 53045-5197 |
| Mailing Address |
4460 N 135th St Brookfield WI 53005-1224 |
| Practice Telephone | 2625328300 |
| Mailing Telephone | 2623700239 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8252-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21700 INTERTECH DR |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-5197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
| 1144788381 | Elizabeth Udovich | Physical Therapist | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2019-03-06 |
| 1154874352 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2016-07-25 |
| 1750720439 | Brian R Fischer | Podiatrist | 21700 Intertech Dr, Brookfield, WI 53045 | 2013-06-17 |
| 1669634820 | Mark Obermyer | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-06-30 |
| 1356529804 | Michael Cada | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-02-07 |
| 1073790804 | Anna B Edlebeck | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2008-01-23 |
| 1558448100 | Andrea Leigh Woodard | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-11-01 |
| 1376597419 | Anthony Hoang | Obstetrics & Gynecology | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-05-22 |
| 1407809130 | Kathleen B Sawasky | Internal Medicine | 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045-5197 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122556 | Mary Kofigah | Nurse Practitioner | 21150 W. Capital Dr., Brookfield, WI 53072 | 2020-04-05 |
| 1295373223 | Joan Marie Bennett | Nurse Practitioner | 125 N Executive Dr Ste 100, Brookfield, WI 53005-6070 | 2019-12-20 |
| 1548821747 | Shirley L Arnold | Nurse Practitioner | 624 West Lockling Avenue, Brookfield, MO 64628 | 2019-06-27 |
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1518369024 | Michael Paul Holtz | Nurse Practitioner | 624 W Lockling St, Brookfield, MO 64628-2003 | 2014-09-16 |
| 1235392218 | Bohdan Kontsevyy | Nurse Practitioner | 3631 Forest Ave Unit P, Brookfield, IL 60513-2262 | 2008-07-09 |
| 1487606794 | Leann Walker | Nurse Practitioner | 1350 Sunny Slope Road, Sunnyslope Primary Care Clinic, Brookfield, WI 53005 | 2006-05-16 |
| 1225644909 | Romy A Desai | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-09-18 |
| 1457969156 | Stefanie Renee Malesevich | Nurse Practitioner | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2020-07-19 |
| 1508482563 | Eula Lewis | Nurse Practitioner | 9139 Broadway Ave, Brookfield, IL 60513-1303 | 2020-06-24 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on AMANDA HALLQUIST.
| 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.