AMANDA ZITZER (NPI# 1780062034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780062034 |
| Entity Type | Individual |
| Full Name | AMANDA ZITZER |
| Practice Address |
1037 S Spring Street Apt 257 Port Washington WI 53074 |
| Practice Telephone | 9202541939 |
| Mailing Telephone | 9202541939 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1037 S SPRING STREET APT 257 |
| City | PORT WASHINGTON |
| State | WI |
| Zip Code | 53074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045864 | Heather Kay Brede | Technician | 857 Ashley Avenue, Port Washington, WI 53074 | 2019-10-23 |
| 1639507643 | Kelly Mulder | Occupational Therapy Assistant | 138 E Prospect St, Port Washington, WI 53074 | 2013-10-30 |
| 1235310921 | Susan Ann Dobberpuhl | Occupational Therapist | 306 N Sprint St, Port Washington, WI 53074 | 2007-11-21 |
| 1245444736 | Lee B Raffel | Social Worker | 3632 E Norport Drive, Port Washington, WI 53074 | 2007-05-10 |
| 1023143708 | Joshua E Leute | Dentist | 1317 West Grand Avenue, Port Washington, WI 53074 | 2007-02-22 |
| 1578633806 | Robert Andrew Kortsch | Dentist | 457 W Grand Ave, Port Washington, WI 53074 | 2006-11-08 |
| 1538256409 | Daniel P Witkowski | Dentist | 1612 N Wisconsin St, Port Washington, WI 53074 | 2006-10-10 |
| 1477584878 | Francine L Cosner | Obstetrics & Gynecology | 1777 W Grand Avenue, Port Washington, WI 53074 | 2006-07-05 |
| 1013953926 | Port Washington Podiatry Inc | Podiatrist | 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074 | 2006-06-20 |
| 1588198857 | Stephanie Cooper | Speech-Language Pathologist | 1119 N Wisconsin St, Port Washington, WI 53074 | 2017-04-13 |
| Find all providers in zip 53074 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548605 | Caitlin Hitsous Fitzpatrick | Student in an Organized Health Care Education/Training Program | 18 Hampton Ct, Port Washington, NY 11050-3021 | 2020-11-04 |
| 1508329681 | Yeon Joo Lee | Student in an Organized Health Care Education/Training Program | 88 Hickory Rd Fl 2, Port Washington, NY 11050-1518 | 2019-04-07 |
| 1780942490 | Emmanuil Diamantakis | Student in an Organized Health Care Education/Training Program | 10 North Ct, Port Washington, NY 11050-3402 | 2012-05-01 |
| 1548551765 | Timothy Sebastian Koo | Student in an Organized Health Care Education/Training Program | 32 Angler Ln, Port Washington, NY 11050-1702 | 2011-04-21 |
| 1740589423 | Arielle Rebecca Heller | Student in an Organized Health Care Education/Training Program | 140 Luquer Rd, Port Washington, NY 11050-4137 | 2011-03-21 |
| 1104055052 | Michael Alexander Chaplin | Student in an Organized Health Care Education/Training Program | 25 N Maryland Ave, Port Washington, NY 11050-2923 | 2009-07-13 |
| 1629569553 | Adam Lysak | Student in an Organized Health Care Education/Training Program | 457 W Grand Ave, Port Washington, WI 53074-2143 | 2018-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130213 | Najla Ba Sharahil | Student in an Organized Health Care Education/Training Program | 600 Highland Avenue University of Wisconsin Hospitals A, Office H4/466, Madison, WI 53792-4108 | 2020-10-02 |
| 1730796079 | Brook Kmiecik | Student in an Organized Health Care Education/Training Program | 9198a Thrall Rd, Woodruff, WI 54568-9329 | 2020-09-30 |
| 1104432608 | Lauren Blunt | Student in an Organized Health Care Education/Training Program | 3913 E Hazelbranch Ln, Oak Creek, WI 53154-6637 | 2020-09-20 |
| 1639784598 | Charmaine Renee Farrille | Student in an Organized Health Care Education/Training Program | 6345 Pheasant Ln Apt 57c, Middleton, WI 53562-2242 | 2020-09-08 |
| 1407469505 | Abigail Koby | Student in an Organized Health Care Education/Training Program | 1802 E Sauk Rd Unit 8, Grafton, WI 53024-9750 | 2020-08-28 |
| 1427660141 | Taylor Rae Schneider | Student in an Organized Health Care Education/Training Program | 2635 S 91st St, West Allis, WI 53227-2422 | 2020-08-24 |
| 1841802840 | Brandi Hardy | Student in an Organized Health Care Education/Training Program | 1477 S Knowles Ave Ste 120, New Richmond, WI 54017-2543 | 2020-08-20 |
| 1588275226 | Benjamin N Wasserman | Student in an Organized Health Care Education/Training Program | 3487 N Lake Dr, Milwaukee, WI 53211-2919 | 2020-08-16 |
| 1902416969 | Cynthia Iradukunda | Student in an Organized Health Care Education/Training Program | University of Wisconsin School of Medicine and Public H, 600 Highland Ave, B6/319, Madison, WI 53792 | 2020-08-05 |
| 1144830480 | Eve E Viner | Student in an Organized Health Care Education/Training Program | 122 10th St S, La Crosse, WI 54601-4113 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | PORT WASHINGTON |
| Zip Code | 53074 |
Please comment or provide details below to improve the information on AMANDA ZITZER.
| 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.