AMANDA JANE RENNOLET (NPI# 1750779732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750779732 |
| Entity Type | Individual |
| Full Name | AMANDA JANE RENNOLET |
| Credential | MS |
| Practice Address |
1000 W 29th St Suite 320 South Sioux City NE 68776-3852 |
| Mailing Address |
4017 Monroe St Sioux City IA 51108-1448 |
| Practice Telephone | 7125744357 |
| Mailing Telephone | 7126354792 |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2015-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P-1214 | NE | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
10474 | NE | Behavioral Health & Social Service Providers |
| Street Address |
1000 W 29TH ST SUITE 320 |
| City | SOUTH SIOUX CITY |
| State | NE |
| Zip Code | 68776-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003256082 | Crossroads Addiction & Mental Health Services, Inc. | Community/Behavioral Health | 1000 W 29th St, Suite 320, South Sioux City, NE 68776-3852 | 2013-07-05 |
| 1366749830 | Pat Ann Riedemann | Counselor | 1000 W 29th St, Suite 319, South Sioux City, NE 68776-3852 | 2011-02-18 |
| 1699071589 | Jennifer E Kassing | Counselor | 1000 W 29th St, Suite 319, South Sioux City, NE 68776-3852 | 2011-02-10 |
| 1366756371 | Robert P Ouellette | Counselor | 1000 W 29th St, Suite 319, South Sioux City, NE 68776-3852 | 2010-08-02 |
| 1912091554 | Drs. Kincaid and Fett | Eyewear Supplier (Equipment, not the service) | 1000 W 29th St, Ste 302, South Sioux City, NE 68776 | 2006-10-03 |
| 1992729024 | David Michael Kincaid | Optometrist | 1000 W 29th St, Suite 302, South Sioux City, NE 68776-3153 | 2006-07-26 |
| 1457374563 | Janet Rose Fett | Optometrist | 1000 W 29th St, Suite 302, South Sioux City, NE 68776-3153 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704251 | Integrated Diagnostics | Pathology | 201 East 4th Street, Suite 203, South Sioux City, NE 68776 | 2019-08-08 |
| 1003374711 | Riverview Surgical Center LLC | Clinic/Center | 201 E 4th Street, South Sioux City, NE 68776 | 2019-03-12 |
| 1144777665 | Emily Malchow | Speech-Language Pathologist | 820 E. 29th St., South Sioux City, NE 68776 | 2016-09-01 |
| 1477856011 | Hospice of Siouxland | Hospice Care, Community Based | 3220 Plaza Dr Ste D, South Sioux City, NE 68776 | 2010-12-20 |
| 1114101839 | Stacy Erin Rose | Counselor | 100 West 29th St, Suite 319, South Sioux, NE 68776 | 2007-12-18 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1689750937 | Elizabeth Joan Munch | Dentist | 3220 Plaza Dr., Suite B, South Sioux City, NE 68776 | 2006-10-30 |
| 1841376191 | Douglas M. Barr | Dentist | 3220 Plaza Drive Ste B, So Sioux City, NE 68776 | 2006-10-30 |
| 1336245521 | Wal-mart Stores, Inc. | Technician/Technologist | 1601 Cornhuskers Drive, South Sioux City, NE 68776 | 2006-09-15 |
| 1316049752 | Redlers Prof Phcy Inc | Durable Medical Equipment & Medical Supplies | 1010 W 29th St, Ste 214, South Sioux City, NE 68776 | 2006-09-05 |
| Find all providers in zip 68776 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426966 | Jamie Leigh Mackling | Counselor | Po Box 355, South Sioux City, NE 68776-0355 | 2017-09-11 |
| 1992136998 | Trina Kennelly | Counselor | 107 E 28th St, South Sioux City, NE 68776-3206 | 2013-12-02 |
| 1902009426 | Darlakae Mcgheemahon | Counselor | 509 Timberline Dr, South Sioux City, NE 68776-3830 | 2007-06-11 |
| 1194867663 | Fern Norris | Counselor | 625 East 39th Street, South Sioux City, NE 68776 | 2007-02-13 |
| 1427665587 | Abigail Marie Frank | Counselor | 917 W 21st St, South Sioux City, NE 68776-2652 | 2020-09-23 |
| 1801400668 | Guy Howard Greene | Counselor | 917 W 21st St, South Sioux City, NE 68776-2652 | 2020-08-31 |
| 1063980126 | Lisa Bye | Counselor | 917 W 21st St, South Sioux City, NE 68776-2652 | 2018-11-07 |
| 1841779436 | Jill M Myers | Counselor | 917 W 21st St, South Sioux City, NE 68776 | 2018-08-14 |
| 1922588516 | Aaron Thomas Youngberg | Counselor | 917 W 21st St, South Sioux City, NE 68776 | 2018-08-14 |
| 1205227394 | Premier Counseling Services, LLC | Counselor | 625 E 39th St, South Sioux City, NE 68776-3445 | 2015-02-10 |
| Find all providers in SOUTH SIOUX CITY | ||||
| City | SOUTH SIOUX CITY |
| Zip Code | 68776 |
Please comment or provide details below to improve the information on AMANDA JANE RENNOLET.
| 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.