AMANDA C KLEESE (NPI# 1659364776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659364776 |
| Entity Type | Individual |
| Full Name | AMANDA C KLEESE |
| Other Name | AMANDA C SMITH |
| Credential | ARNP |
| Practice Address |
1230 S Iowa Ave Washington IA 52353-1144 |
| Mailing Address |
Po Box 909 Washington IA 52353-0909 |
| Practice Telephone | 3196537291 |
| Practice Fax Number | 3196537440 |
| Mailing Telephone | 3196537291 |
| Mailing Fax Number | 3196537440 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | C103068 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | WELLMARK BCBS | 36094 | 01 |
| IA | 0430876 | 05 |
| Street Address |
1230 S IOWA AVE |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-1144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669802955 | Washington County Hospital | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2013-11-22 |
| 1770725202 | Trevor R. Martin | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2009-03-30 |
| 1235159716 | George David Nacos | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-07-20 |
| 1184663684 | Matthew John Prihoda | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-06-06 |
| 1902863558 | Debbie L Gibbs | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-04-27 |
| 1114981396 | Ryan Andrew Flannery | Family Medicine | 1230 S Iowa Ave, Washington, IA 52353-1144 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851901664 | Demetria Satarra Peay | Nurse Practitioner | 1015 15th St Nw Ste 1000, Washington, DC 20005-2621 | 2020-08-06 |
| 1538712369 | Genesis Webb | Nurse Practitioner | 50 Irving St Northwest, Washington, DC 20310-0001 | 2019-07-21 |
| 1669945879 | Taiwo O Adeyemo | Nurse Practitioner | Unity Health Care, Inc Department of Corrections, 1901 D Street Se, Washington, DC 20003 | 2019-01-10 |
| 1063983500 | Rachel A Amsbaugh | Nurse Practitioner | 1986 Freedom Pkwy Ste 1, Washington, IL 61571-9468 | 2018-12-10 |
| 1912499708 | Elmer C Amparo | Nurse Practitioner | 1160 Varnum St Ne Ste 317, Washington, DC 20017-2103 | 2018-06-06 |
| 1366940835 | Teresa Krueger | Nurse Practitioner | 1230 S. Iowa Ave, Washington, IA 52353-1144 | 2018-01-30 |
| 1639682263 | Erin M Collison | Nurse Practitioner | 1401 E Van Trees St, Washington, IN 47501-3100 | 2017-11-06 |
| 1346693330 | Alexandra Brennan Moskowitz | Nurse Practitioner | Gwu Hospital, 900 23rd Street Nw, Washington, DC 20037 | 2016-07-14 |
| 1275917577 | Christopher Duaka Obiogbolu | Nurse Practitioner | 4310 Hunt Place, N.e, Washington, DC 20019 | 2015-07-16 |
| 1194111898 | Clute Clinic | Nurse Practitioner | 1315 31 St Nw, Washington, DC 20007 | 2015-04-09 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
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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.