AMANDA RADTKE (NPI# 1720506090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720506090 |
| Entity Type | Individual |
| Full Name | AMANDA RADTKE |
| Practice Address |
512 30th Ave E Ste 100 Alexandria MN 56308-5096 |
| Mailing Address |
891 Belsly Blvd Moorhead MN 56560-5055 |
| Practice Telephone | 3204625411 |
| Practice Fax Number | 3207620829 |
| Mailing Telephone | 2182874338 |
| Mailing Fax Number | 2182875928 |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841859600 | Amanda Radtke | Counselor | 3416 N Association Dr, Appleton, WI 54914-1479 | 2019-06-06 |
| 1215475413 | Amanda Veling Radtke | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2017-02-08 |
| 1679938724 | Amanda Rae Radtke | Social Worker | 40 11th St, Cloquet, MN 55720-1817 | 2015-12-16 |
| 1962770297 | Amanda Radtke | Pharmacist | 8007 W Florissant Ave, Jennings, MO 63136-1400 | 2011-12-01 |
| 1295864650 | Amanda Elizabeth Radtke | Marriage & Family Therapist | 6912 220th St Sw, Mountlake Terrace, WA 98043-2169 | 2007-03-03 |
| Street Address |
512 30TH AVE E STE 100 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-5096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124315064 | Angie Marie Williamson | Dietitian, Registered | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2011-06-29 |
| 1932709094 | Sierra Barten | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-10-28 |
| 1679183727 | Charles Long | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-08-04 |
| 1134739279 | Jaymi Nelson | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-08-04 |
| 1851917421 | Jordan Judd | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-06-19 |
| 1689296584 | Sydney Lundebrek | Technician, Other | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-05-13 |
| 1295357796 | Breanna Dallum | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-05-07 |
| 1508499518 | Breanna Heidecker | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-02-18 |
| 1770114969 | Emily Parent | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-01-28 |
| 1417596701 | Brenna Webster | Specialist | 512 30th Ave E Ste 100, Alexandria, MN 56308-5096 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1063997724 | Women's Health Clinic, Inc | Specialist | 5999 Stevenson Ave Ste 403, Alexandria, VA 22304-3302 | 2018-09-28 |
| 1013458413 | Rebecca Walton | Specialist | 5936 Bangor Dr, Alexandria, VA 22303-2202 | 2017-03-17 |
| 1487107587 | Loudoun Medical Group PC | Specialist | 6355 Walker Ln Ste 303, Suite 303, Alexandria, VA 22310-3247 | 2016-07-26 |
| 1861866410 | Lea Hawkins-fisher | Specialist | 1024 3rd St, Suite 203, Alexandria, LA 71301-8343 | 2015-11-19 |
| 1639581408 | Denise Lee | Specialist | 6824 Deer Run Dr, Alexandria, VA 22306-1123 | 2014-05-28 |
| 1144645912 | Iris Jones | Specialist | 3654 Government St, Suite 7, Alexandria, LA 71302-3324 | 2014-03-03 |
| 1164705539 | Madeline Carmen Hernandez | Specialist | 5838 Brookview Dr, Alexandria, VA 22310-1817 | 2011-09-22 |
| 1134434046 | Gynecare Associates | Specialist | 2807 Duke St, Alexandria, VA 22314-4512 | 2010-08-16 |
| 1962737080 | Ariel O Antezana | Specialist | 3311 Prescott Rd Ste 216, Alexandria, LA 71301-3983 | 2009-10-07 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on AMANDA RADTKE.
| 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.