AMANDA CREAMER (NPI# 1477092906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477092906 |
| Entity Type | Individual |
| Full Name | AMANDA CREAMER |
| Credential | NP |
| Practice Address |
1605 Martin Springs Dr Ste 210 Rolla MO 65401-2982 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 5734586326 |
| Mailing Telephone | 8554207900 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016042432 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PENDING | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235509175 | Amanda Creamer | Nurse Practitioner | 1250 E Marshall St, Main Hospital 7th Floor, Richmond, VA 23298-5051 | 2015-10-05 |
| Street Address |
1605 MARTIN SPRINGS DR STE 210 |
| City | ROLLA |
| State | MO |
| Zip Code | 65401-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024468 | William S Anast | Anesthesiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2005-06-22 |
| 1851839716 | Richard Siska Sr. | Radiologic Technologist | 1605 Martin Springs Dr, Ste 110, Rolla, MO 65401-2982 | 2017-02-10 |
| 1922457712 | Madhura G Joag | Internal Medicine | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2016-06-13 |
| 1497115497 | Di'ara Woods | Physician Assistant | 1605 Martin Springs Dr, Ste 230, Rolla, MO 65401-2982 | 2016-03-03 |
| 1104260090 | Omofolarin Babatunji Fasuyi | Family Medicine | 1605 Martin Springs Dr, Suite 210, Rolla, MO 65401-2982 | 2013-04-22 |
| 1790037950 | Lisa A Cunningham | Nurse Practitioner | 1605 Martin Springs Dr, Ste 250, Rolla, MO 65401-2931 | 2012-10-11 |
| 1043562358 | Mercy Hospital Lebanon | Clinic/Center | 1605 Martin Springs Dr, Rolla, MO 65401-2931 | 2012-10-10 |
| 1801148499 | Mercy Hospital Lebanon | Radiology | 1605 Martin Springs Dr, Rolla, MO 65401-2982 | 2012-10-08 |
| 1265787741 | Cheri Berti | Pharmacist | 1605 Martin Springs Dr, Suite 220, Rolla, MO 65401-2931 | 2012-07-19 |
| 1720347867 | Abigail Crisostomo | Family Medicine | 1605 Martin Springs Dr, Ste 210, Rolla, MO 65401-2931 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639645591 | Samantha Jo Mitchell | Pharmacist | 1375 E 10th St Suite B, Rolla, MO 65401 | 2018-10-18 |
| 1427567726 | Gerry Wade Funkhouser Jr. | Counselor | 103 W 10th St, Rolla, MO 65401 | 2017-09-29 |
| 1366967960 | Shana Hintz Wisniewski | Social Worker | 1000 W. 10th St., Rolla, MO 65401 | 2017-08-04 |
| 1174066559 | Tabitha Hundt | Counselor | 1011 Cypress Dr, Rolla, MO 65401 | 2016-12-02 |
| 1841742855 | Alpha Assisted Living LLC | Assisted Living Facility | 13450 Cr 7040, 803 E 12th St, Rolla, MO 65401 | 2016-10-26 |
| 1275916884 | Elizabeth Zersen | Occupational Therapist | 2053 Vienna Rd, Rolla, MO 65401 | 2015-06-30 |
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1114326121 | Summer Adey | Licensed Practical Nurse | 13750 State Route F, Rolla, MO 65401 | 2014-08-14 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1316282064 | Susan Peitz Gruener | Occupational Therapy Assistant | 1800 White Column Road, Rolla, MO 65401 | 2012-12-06 |
| Find all providers in zip 65401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386047025 | Becky L Witham | Nurse Practitioner | 1060 W 10th Street, Rolla, MO 65401 | 2014-10-08 |
| 1366644320 | Dawn Renee Tope | Nurse Practitioner | 416 S Bishop Ave, Rolla, MO 65401-4311 | 2007-06-01 |
| 1114007333 | Karene Marie Goodman | Nurse Practitioner | 715 St Rt Cc, Rolla, MO 65401 | 2006-10-16 |
| 1023633096 | Kayla N Kaiser | Nurse Practitioner | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2020-06-15 |
| 1275098402 | Caitlyn Micah Barry | Nurse Practitioner | 1218 E State Route 72, Rolla, MO 65401-3938 | 2019-02-01 |
| 1811472822 | James Mark Spaw | Nurse Practitioner | 1605 Martin Springs Dr Ste 230, Rolla, MO 65401-2980 | 2018-09-26 |
| 1215414099 | Rachelle Long Fischer | Nurse Practitioner | 213 2nd Ave Ne, Rolla, ND 58367-7153 | 2018-07-24 |
| 1659857415 | Josie Leann Eoff | Nurse Practitioner | 1050 W 10th St, Rolla, MO 65401 | 2018-07-16 |
| 1356847446 | Brayden Walker | Nurse Practitioner | 114 3rd St Ne, Rolla, ND 58367-7137 | 2018-04-05 |
| 1629588314 | Patricia Ann French | Nurse Practitioner | 1000 W 10th St, Rolla, MO 65401 | 2017-10-06 |
| Find all providers in ROLLA | ||||
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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.