MS. AMANDA VICTORIA JOHNSON (NPI# 1417261157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417261157 |
| Entity Type | Individual |
| Full Name | MS. AMANDA VICTORIA JOHNSON |
| Credential | M.A. |
| Practice Address |
1901 E 1st St Newton KS 67114-5010 |
| Mailing Address |
8510 E 29th St N Apt. # 814 Wichita KS 67226-6602 |
| Practice Telephone | 3162846400 |
| Mailing Telephone | 4406687734 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
T-LMLP 1357 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | TEMPORARY LICENSED MASTERS LEVEL PSYCHOLOGIST | T-LMLP 1357 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
1901 E 1ST ST |
| City | NEWTON |
| State | KS |
| Zip Code | 67114-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931795 | Timothy P Gatschet | Psychiatry & Neurology | 1901 E 1st St, Newton, KS 67114-5010 | 2005-06-13 |
| 1104427400 | Prairie View Inc. | Psychiatric Hospital | 1901 E 1st St, Newton, KS 67114-5010 | 2020-11-03 |
| 1831796481 | Elissa Failes | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2020-10-07 |
| 1861004160 | Jessica Eleanor Schindler | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2020-08-18 |
| 1134737646 | Molly Johansen | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2020-07-21 |
| 1083252035 | Andrea Lyn Morgan | Registered Nurse | 1901 E 1st St, Newton, KS 67114-5010 | 2019-12-19 |
| 1750937249 | Marta Pena | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2019-08-12 |
| 1619521465 | Kimberly Chantelle Diah | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2019-07-30 |
| 1295388460 | Kendyl P Bahri | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2019-07-17 |
| 1255992673 | Justin A Soriano | Counselor | 1901 E 1st St, Newton, KS 67114-5010 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301854 | Kelly Pruitt | Physical Therapist | 111 Summer Drive, Newton, KS 67114 | 2016-04-22 |
| 1538505417 | Fair Chiropractic LLC | Chiropractor | 2305 S. Kansas Ave., Suite 104, Newton, KS 67114 | 2013-05-17 |
| 1922383884 | Anne M Geidel | Pharmacist | 1300 N. Main, Newton, KS 67114 | 2011-10-11 |
| 1831474790 | Mark Thomas Attebery | Pharmacist | 1300 N. Main St., Newton, KS 67114 | 2011-10-11 |
| 1417254228 | Katie Conner Reese | Social Worker | 209 S. Pine Street, Newton, KS 67114 | 2011-02-15 |
| 1306076328 | Tammy Bush | Physical Therapist | 800 Meadowlark Ln, Newton, KS 67114 | 2009-07-24 |
| 1790962223 | Eric Brian Fair | Chiropractor | 2305 S. Kansas Ave, Suite 104, Newton, KS 67114 | 2008-01-28 |
| 1144434960 | Keri Annette Mick | Speech-Language Pathologist | Newton Presbyterian Manor, 7th Street, Newton, KS 67114 | 2007-05-10 |
| 1659425841 | Michele I Janssens | Speech-Language Pathologist | 115 Harrison St, Newton, KS 67114 | 2007-01-23 |
| 1912063751 | Edward A Myers | Chiropractor | 1609 E 9th St, Newton, KS 67114 | 2006-12-28 |
| Find all providers in zip 67114 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649463720 | Ligia Maria Baptista | Psychologist | 76 Chestnut St Ste A, Newton, MA 02465-2528 | 2007-08-22 |
| 1760466809 | Elizabeth Ann Guhman | Psychologist | 1901 E 1st, Newton, KS 67114-0467 | 2005-12-02 |
| 1821588815 | Mary Margaret Bandura | Psychologist | 10 Langley Rd Ste 200, Newton, MA 02459-1972 | 2018-05-15 |
| 1770012338 | Jacqueline Arlene Winslow | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2017-06-07 |
| 1558714261 | Katie Elish | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2016-07-18 |
| 1881003143 | Mai Karitani Manchanda | Psychologist | 1901 E. First St., Newton, KS 67114-0467 | 2014-08-11 |
| 1386902237 | Christina Leigh Marvin | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2012-04-30 |
| 1902125487 | Jessica Kerzner | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2010-05-24 |
| 1801038005 | Sara Kay Puckett | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2009-04-02 |
| 1710134994 | Phillip Miller | Psychologist | 1901 E 1st St, Newton, KS 67114-5010 | 2008-08-19 |
| Find all providers in NEWTON | ||||
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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.