MRS. AMANDA DIEFENDERFER (NPI# 1659312403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659312403 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA DIEFENDERFER |
| Credential | PA |
| Practice Address |
2301 House Ave Cheyenne WY 82001-3176 |
| Mailing Address |
2301 House Ave Suite 300 Cheyenne WY 82001-3176 |
| Practice Telephone | 3076371600 |
| Practice Fax Number | 3076371699 |
| Mailing Telephone | 3076354141 |
| Mailing Fax Number | 3076356587 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
333 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 HOUSE AVE |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82001-3176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124134 | Celina Frances Tolge | Psychiatry & Neurology | 2301 House Ave, Suite 203, Cheyenne, WY 82001-3176 | 2005-06-16 |
| 1871098707 | Rachel Kelley Morgan | Physician Assistant | 2301 House Ave, Suite 502, Cheyenne, WY 82001-4165 | 2018-03-23 |
| 1346798675 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Ste 101, Cheyenne, WY 82001-3176 | 2016-09-15 |
| 1891243481 | North Star Infusion Inc | Pharmacy | 2301 House Ave, Suite 101, Cheyenne, WY 82001 | 2016-09-13 |
| 1568815843 | Frontier Anesthesia LLC | Anesthesiologist Assistant | 2301 House Ave, Suite 300, Cheyenne, WY 82001-3176 | 2016-07-21 |
| 1114336781 | Summit Spine and Neurosurgery Associates | Neurological Surgery | 2301 House Ave, Suite 505, Cheyenne, WY 82001-3176 | 2014-08-08 |
| 1073939385 | May Katharine Collins Lehman | Physician Assistant | 2301 House Ave, Suite 301, Cheyenne, WY 82001-3176 | 2014-03-11 |
| 1174870554 | Epix Anesthesia of Cheyenne, PC | Anesthesiology | 2301 House Ave, Ste 300, Cheyenne, WY 82001-3176 | 2012-08-06 |
| 1700172434 | Joanne Laura Hassell | Pediatrics | 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | 2011-06-21 |
| 1093009698 | Hoo Feng Choo | Internal Medicine | 2301 House Ave, Suite 201, Cheyenne, WY 82001-3176 | 2011-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382150 | Brain Advancement Center, LLC | Counselor | 2005 Warren Ave., Cheyenne, WY 82001 | 2019-05-24 |
| 1255897385 | Humble Horizon Home Health LLC | Case Management | 6066 Wilderness Trl, Cheyenne, WY 82001 | 2019-02-13 |
| 1396214722 | Megan Kraushaar | Behavior Technician | 3120 Old Faithful Rd, Cheyenne, WY 82001 | 2018-11-14 |
| 1255815536 | Michelle Mae Mccoy | Social Worker | 2360 E Perishing Blvd, Cheyenne, WY 82001 | 2018-09-21 |
| 1750869616 | Finding Peace Counseling, LLC | Counselor | 1603 Capitol Ave Ste 510b, Cheyenne, WY 82001 | 2018-08-02 |
| 1457855595 | Better Life Counseling LLC | Counselor | 2909 Bent Ave Ste 5, Cheyenne, WY 82001 | 2018-03-22 |
| 1942729066 | Brittany Heinzman | Community Health Worker | 2000 Westland Road Suite C, Cheyenne, WY 82001 | 2017-09-11 |
| 1144768086 | Cheyenne Regional Home Home Care Services | Case Management | 214 E 23rd Street, Cheyenne, WY 82001 | 2017-02-10 |
| 1104360726 | Jennifer Pannebaker | Behavioral Analyst | 813 Randall Ave, Cheyenne, WY 82001 | 2016-12-16 |
| 1053854703 | Raven Coward Long | Social Worker | 821 East Pershing Blvd, Cheyenne, WY 82001 | 2016-11-29 |
| Find all providers in zip 82001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730646035 | Colby Vossler | Physician Assistant | 2635 Torrington Rd, Cheyenne, WY 82009-9258 | 2019-02-23 |
| 1477544393 | Cesar Garcia | Physician Assistant | 2301 House Ave Ste 301, Cheyenne, WY 82001-3178 | 2005-10-31 |
| 1649793852 | Bailey Montgomery | Physician Assistant | 3952 Parkview Dr, Cheyenne, WY 82001 | 2017-07-19 |
| 1407015308 | Robyn Carroll Yetka | Physician Assistant | 714 W Fox Farm Rd, Cheyenne, WY 82007-2360 | 2008-06-05 |
| 1578773537 | Wanda M. Frank | Physician Assistant | 5050 Powderhouse Rd, Cheyenne, WY 82009-4800 | 2007-05-22 |
| 1467504860 | Marissa K Pichel | Physician Assistant | 2301 House Ave, Suite 405, Cheyenne, WY 82001-3176 | 2007-01-17 |
| 1356429575 | Brian W Frye | Physician Assistant | 214 E 23rd St, Surgical Services, Cheyenne, WY 82001-3748 | 2006-11-02 |
| 1346341419 | Scott Allen Andrew | Physician Assistant | 4136 Laramie St, Suite A, Cheyenne, WY 82001-1969 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1679910343 | Richard David Bennett | Physician Assistant | 720 Lindsay Lane, Suite C, Big Horn Basin Bone and Joint, LLC, Cody, WY 82414-4103 | 2013-06-04 |
| 1649490814 | Charles Douglas Littell | Physician Assistant | 26 Miles West of Green River, Green River, WY 82935-0872 | 2007-04-27 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1194815225 | Barbara A. Shear | Physician Assistant | 2417 East 15th Street, Casper, WY 82609 | 2006-10-12 |
| 1952498230 | Daniel Janssen | Physician Assistant | 900 Cy Ave, Casper, WY 82601-4174 | 2006-10-06 |
| 1376638338 | Steven John Platz | Physician Assistant | 8195 State Hwy 789, Lander, WY 82520 | 2006-10-04 |
| 1811094154 | Kenneth L. Chastek | Physician Assistant | Employee Health Solutions, 245 South Fenway, Casper, WY 82601 | 2006-09-20 |
| 1851318422 | Patricia Ann Brown | Physician Assistant | 1208 S. River St., Saratoga, WY 82331-0650 | 2006-07-17 |
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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.