AMANDA ELLINGSON (NPI# 1548801228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548801228 |
| Entity Type | Individual |
| Full Name | AMANDA ELLINGSON |
| Credential | RN |
| Practice Address |
2701 12th Ave S Fargo ND 58103-8753 |
| Practice Telephone | 7014514900 |
| Mailing Telephone | 7014514900 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
R34720 | ND | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | ND REGISTERED NURSE LICENSE | R34720 | 01 |
| Street Address |
2701 12TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-8753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174677785 | Peggy L Stenehjem-titus | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2007-01-22 |
| 1528687217 | Julie Vandrovec | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2020-04-13 |
| 1174156145 | Jessica L Danielson | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2020-02-19 |
| 1780220350 | Darren Carter | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-11-19 |
| 1114576907 | Lindsey Marie Kringlie | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-09-05 |
| 1740833490 | Amy Neuheisel | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-07-22 |
| 1831753631 | Justin N Chase | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-04-26 |
| 1356881130 | Amber Dew | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2017-02-28 |
| 1699215574 | Roxann Burtness | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2017-02-27 |
| 1255879565 | Paul Schumm | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720498868 | Joanna Johnson | Registered Nurse | 1720 University Dr S, Fargo, ND 58103-4940 | 2014-04-29 |
| 1760777031 | Jessica Graham Steinhauer | Registered Nurse | 1316 23rd St S, Fargo, ND 58103-3707 | 2011-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063955532 | Kevin Kurt Axtman | Registered Nurse | 1115 Westport Beach Way Unit B, West Fargo, ND 58078-8848 | 2016-11-30 |
| 1144829805 | Kristine Beth Johnson | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2020-10-22 |
| 1780234377 | Lisa Amundgaard | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2019-09-16 |
| 1134687874 | Melissa Faye Meigs | Registered Nurse | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2019-03-12 |
| 1811489990 | Esther Mae Hylden | Registered Nurse | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-04 |
| 1356846422 | Angela Mathson | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2018-03-29 |
| 1750750709 | Lisa Marie Nelson-beauchamp | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2015-09-21 |
| 1336525997 | Krista Marie Larum | Registered Nurse | 316 2nd Ave W, Williston, ND 58801-5218 | 2015-08-06 |
| 1225445380 | Andrea Anthony | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
| 1396152468 | Sheila M Moe | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2014-07-21 |
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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.