AMANDA ANNE TWAIT (NPI# 1417197690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417197690 |
| Entity Type | Individual |
| Full Name | AMANDA ANNE TWAIT |
| Credential | PMHNP-BC |
| Practice Address |
210 N Hammes Ave Ste 205 Joliet IL 60435-8139 |
| Mailing Address |
210 N Hammes Ave Suite 103 Joliet IL 60435-6680 |
| Practice Telephone | 8159729779 |
| Practice Fax Number | 8157258144 |
| Mailing Telephone | 8157256511 |
| Mailing Fax Number | 8157257166 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2016-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209.007495 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 N HAMMES AVE STE 205 |
| City | JOLIET |
| State | IL |
| Zip Code | 60435-8139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995426 | Suresh Bhalla | Specialist | 210 N Hammes Ave, Suite 112, Joliet, IL 60435-6680 | 2005-07-08 |
| 1285260075 | Rodolfo Mireles | Counselor | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2020-03-12 |
| 1265076426 | Magaly Passos-hoke | Marriage & Family Therapist | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2019-10-31 |
| 1912445909 | Joliet Behavioral Center, Inc | Psychiatry & Neurology | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-02-09 |
| 1356888184 | Lauren Elizabeth Mahaffey | Social Worker | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2017-01-31 |
| 1184021461 | Kathleen Ryan Linehan | Nurse Practitioner | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2014-12-02 |
| 1558775031 | Amanda Katherine Harwood | Podiatrist | 210 N Hammes Ave, Ste 103, Joliet, IL 60435-6688 | 2014-06-12 |
| 1831517630 | Michael Wathen | Counselor | 210 N Hammes Ave, Joliet, IL 60435-6680 | 2014-03-31 |
| 1174955710 | Allison Marie Castello | Counselor | 210 N Hammes Ave, Suite 205, Joliet, IL 60435-6680 | 2013-08-06 |
| 1356789754 | Allison Renae Giacomi | Counselor | 210 N Hammes Ave, 205, Joliet, IL 60435-6680 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889018 | Chime Ajiere | Nurse Practitioner | 511 Theodore St, Joliet, IL 60435 | 2018-04-24 |
| 1740791284 | Melanie Presnak | Speech-Language Pathologist | 1207 N Larkin Ave, Joliet, IL 60435 | 2017-10-23 |
| 1831618883 | Jeriel Marsena Quarles | Licensed Practical Nurse | 1617 W Jefferson Street, Joliet, IL 60435 | 2017-09-11 |
| 1053769760 | Cody Hutchinson | Physical Therapy Assistant | 2943 W Jefferson St, Joliet, IL 60435 | 2016-06-03 |
| 1659748549 | Megan Ryab | Massage Therapist | 501 Wilcox St, Joliet, IL 60435 | 2015-08-26 |
| 1922416197 | Kodo Care, Inc. | Pharmacy | 221 Springfield Avenue, Suite A, Joliet, IL 60435 | 2014-07-31 |
| 1528489739 | My Family Doc LLC | Family Medicine | 2001-03 Essington Rd, Joliet, IL 60435 | 2013-12-16 |
| 1184973869 | R A Lombardi Dds PC | Dentist | 3011 Theodore St., Joliet, IL 60435 | 2012-09-10 |
| 1245546076 | Kelly Rae Lesemann | Chiropractor | 1011 Essington Road, Joliet, IL 60435 | 2010-08-31 |
| 1932413697 | Ann E Todd | Optometrist | 1521 Essington Road, Everything In Sight, Joliet, IL 60435 | 2010-08-04 |
| Find all providers in zip 60435 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443993 | Theresa Donley | Nurse Practitioner | 800 Black Rd, Joliet, IL 60435-5942 | 2017-05-11 |
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|---|---|---|---|---|
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| 1518585942 | Tabs Behavioral Health Inc | Nurse Practitioner | 13316 Vicarage Dr, Plainfield, IL 60585-5050 | 2020-07-13 |
| 1154946788 | Latisha Trenice Stennis | Nurse Practitioner | 8106 Carol Dr, East Saint Louis, IL 62203-1838 | 2020-06-09 |
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1104448968 | Abosede Rachel Babalola | Nurse Practitioner | 2214 Monarch St, Bourbonnais, IL 60914-2780 | 2020-05-14 |
| 1659909406 | Mudira Temilola Oyewole | Nurse Practitioner | 493 Leslie Ct, Des Plaines, IL 60016-8818 | 2020-03-28 |
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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.