DR. AMANDA MARIE EVERHART (NPI# 1851513865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851513865 |
| Entity Type | Individual |
| Full Name | DR. AMANDA MARIE EVERHART |
| Credential | M.D. |
| Practice Address |
21260 Chippendale Ave W Farmington MN 55024-1427 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6514637181 |
| Practice Fax Number | 6512410829 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49714 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE PTAN | P00438360 | 01 | |
| MN | 145430000 | 05 | |
| MEDICA | 1851513865 | 01 | |
| MN | BCBS | 16P75EV | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740799634 | Amanda Everhart | Specialist/Technologist | 21988 Giles Rd, Gretna, NE 68028-4000 | 2017-09-24 |
| 1437478161 | Amanda D Everhart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2010-05-20 |
| Street Address |
21260 CHIPPENDALE AVE W |
| City | FARMINGTON |
| State | MN |
| Zip Code | 55024-1427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254253 | Lori L Utech | Family Medicine | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2005-09-08 |
| 1720592843 | Jessica Elizabeth Gallagher | Nurse Practitioner | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2017-11-28 |
| 1114214319 | Ria Bardhan | Pediatrics | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2011-07-08 |
| 1003112822 | Allina Health System | Clinic/Center | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2011-01-27 |
| 1568699007 | Sherri Sue Oetken | Family Medicine | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2009-06-11 |
| 1003991449 | Saul Aarron Mcbroom | Family Medicine | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2006-10-26 |
| 1992814933 | Melissa A Reinhardt | Pediatrics | 21260 Chippendale Ave W, Allina Medical Clinic Farmington, Farmington, MN 55024-1427 | 2006-08-30 |
| 1629031687 | Timothy E Savageau | Optometrist | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2006-04-10 |
| 1649232224 | Leo Francis P Avenido | Family Medicine | 21260 Chippendale Ave W, Farmington, MN 55024-1427 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758158 | Renetia Jackson | Technician | 1210 Spruce Street, Farmington, MN 55024 | 2019-09-10 |
| 1871094912 | Megan Provost | Registered Nurse | 17680 Formosa Ave, Farmington, MN 55024 | 2018-02-23 |
| 1356752463 | Your Vision Achieved, LLC | Marriage & Family Therapist | 5404 187th Street West, Farmington, MN 55024 | 2014-05-12 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1053680991 | Annie Lee Mickelson | Chiropractor | 20700 Chippendale Ave Suite 7, Farmington, MN 55024 | 2011-12-21 |
| 1770770828 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 19605 Pilot Knob Rd., Farmington, MN 55024 | 2007-10-02 |
| 1275725277 | Family Vision Clinic of Farmington | Optometrist | 19650 Pilot Knob Road, Farmington, MN 55024 | 2007-08-14 |
| 1871503136 | Independent School District #192 | Early Intervention Provider Agency | 20655 Flagstaff Avenue, Farmington, MN 55024 | 2006-08-09 |
| 1588692669 | Northfield Hospital | Clinic/Center | 4645 Knutsen Dr, Farmington, MN 55024 | 2006-06-29 |
| 1902887284 | David E Truax | Chiropractor | 20700 Chippendale Ave, Suite 7, Farmington, MN 55024 | 2005-11-14 |
| Find all providers in zip 55024 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1063891570 | Jantzen T Slater | Family Medicine | 199 E. Main St., Farmington, AR 72730-3077 | 2015-05-29 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 55024 |
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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.