MS. AMANDA SUZANNE POTTER (NPI# 1528487626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528487626 |
| Entity Type | Individual |
| Full Name | MS. AMANDA SUZANNE POTTER |
| Credential | MS |
| Practice Address |
204 West Holloway Ave Bismarck IL 61814 |
| Practice Telephone | 2173041595 |
| Mailing Telephone | 2173041595 |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146.007731 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336654953 | Amanda Claire Potter | Speech-Language Pathologist | 11212 Ne 112th St, Kirkland, WA 98033-4520 | 2017-12-05 |
| 1477943298 | Amanda Potter | Community Health Worker | 16 Old Barn Rd, East Windsor, CT 06088-1726 | 2015-02-01 |
| 1730795246 | Amanda Potter | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703-3156 | 2020-09-20 |
| 1154892420 | Amanda Potter | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-12-16 |
| 1871075127 | Amanda D Potter | Counselor | 17720 Ne Halsey St Ste B, Portland, OR 97230-6771 | 2018-09-04 |
| 1760923304 | Amanda Lynd Potter | Nurse Practitioner | 915 Gordon Ave, Thomasville, GA 31792-6614 | 2017-03-15 |
| 1275085524 | Amanda Potter | Social Worker | 330 Lakeview Dr, Goshen, IN 46528-9365 | 2016-11-02 |
| 1992163828 | Amanda Potter | Counselor | 310 N 7th St, Grand Junction, CO 81501-3420 | 2016-02-06 |
| 1629434139 | Amanda Elizabeth Potter | Behavioral Analyst | 3649 Cape Center Dr, Fayetteville, NC 28304-4457 | 2016-01-13 |
| 1023480423 | Amanda Potter | Social Worker | 34 School St, Suite 104, Foxboro, MA 02035-2339 | 2015-10-24 |
| Street Address |
204 WEST HOLLOWAY AVE |
| City | BISMARCK |
| State | IL |
| Zip Code | 61814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538254776 | Bismarck Community Ambulance Service Inc | Ambulance | 16903 E 2750 N Rd, Bismarck, IL 61814 | 2006-10-04 |
| 1568579258 | Community Unit School Dist 1 | Registered Nurse | 17268 East 2750 North Rd, Bismarck, IL 61814 | 2006-08-25 |
| 1659773240 | Bismarck Community Fire Protection District | Ambulance | 17384 E 2750 N Rd, Bismarck, IL 61814-0000 | 2014-09-25 |
| 1881824449 | Michael Henry | Dentist | 27 Woodland Hills Dr, Bismarck, IL 61814-5055 | 2009-07-16 |
| 1104975010 | Garry James Hinkle I | Pharmacist | 21351 E 2240 North Rd, Bismarck, IL 61814-5083 | 2007-01-09 |
| 1578072047 | Kathy Ann Watson | Speech-Language Pathologist | 17268 E 2750 North Rd, Bismarck, IL 61814-5130 | 2017-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821471 | Kari Hanson | Student in an Organized Health Care Education/Training Program | 4822 N 19th St, Bismarck, ND 58503-5687 | 2020-11-03 |
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1407457096 | Amanda R Heupel | Technician | 1000 E Lasalle Dr, Bismarck, ND 58503-8895 | 2020-11-02 |
| 1487255931 | Happy and Smile LLC | Home Health | 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 | 2020-11-02 |
| 1427658061 | Stephanie Zinke | Technician | 215 E Arbor Ave, Bismarck, ND 58504-5767 | 2020-10-30 |
| 1295335131 | Amanda Elizabeth Rodin | Technician | 936 Summit Blvd Apt 1, Bismarck, ND 58504-5202 | 2020-10-29 |
| 1932709144 | Melissa Guthmiller | Technician | 1507 E Bowen Ave, Bismarck, ND 58504-6028 | 2020-10-27 |
| 1053910570 | Courtney Cunningham | Respite Care | 3712 E Regent Dr, Bismarck, ND 58504-7530 | 2020-10-26 |
| 1558960039 | Ruth Joan Schill | Technician | 420 E Main Ave Apt 611, Bismarck, ND 58501-4068 | 2020-10-26 |
| Find all providers in BISMARCK | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902416621 | Rachel Christine Petit | Speech-Language Pathologist | 1107 S 7th St, Bismarck, ND 58504-6533 | 2020-08-06 |
| 1134787146 | Mariah Lynn Benz | Speech-Language Pathologist | 809 W Interstate Ave Unit A, Bismarck, ND 58503-0964 | 2019-06-04 |
| 1366909251 | Milestones Therapy | Speech-Language Pathologist | 1033 S Washington St, Bismarck, ND 58504-6262 | 2019-02-27 |
| 1578072047 | Kathy Ann Watson | Speech-Language Pathologist | 17268 E 2750 North Rd, Bismarck, IL 61814-5130 | 2017-09-27 |
| 1972954162 | Ava Burckhard | Speech-Language Pathologist | 4501 Coleman St N Suite #103, Pediatric Therapy Partners, Bismarck, ND 58503 | 2016-06-29 |
| 1942676002 | Victoria Nicole Eftink | Speech-Language Pathologist | 165 Campus Dr, Bismarck, MO 63624-8500 | 2015-08-12 |
| 1447655675 | Kristin Cleary | Speech-Language Pathologist | 1840 S Grandview Ln, Bismarck, ND 58503-0847 | 2014-10-30 |
| 1154748895 | Sandra Hendricksen Martire | Speech-Language Pathologist | 630 Oberhausen Dr, Bismarck, ND 58504-7056 | 2014-03-19 |
| 1649615352 | Jessica Towle Slp | Speech-Language Pathologist | 2505 Lacorte Pl, Bismarck, ND 58503-8866 | 2013-05-08 |
| 1598020133 | Andrea M Kellerman | Speech-Language Pathologist | 101 Dennis Dr, Special Services -- Claim Care, Bismarck, MO 63624-9075 | 2012-07-10 |
| Find all providers in BISMARCK | ||||
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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.