DR. AMANDA LEE JOHNSON (NPI# 1861711459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861711459 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LEE JOHNSON |
| Other Name | AMANDA PAULINE LEE |
| Credential | MD |
| Practice Address |
4323 Nw Urbandale Drive Urbandale IA 50322 |
| Mailing Address |
7147 Vista Dr Ste 150 West Des Moines IA 50266-9313 |
| Practice Telephone | 5158759190 |
| Practice Fax Number | 5158759202 |
| Mailing Telephone | 5158759925 |
| Mailing Fax Number | 5158759923 |
| Enumeration Date | 2010-05-23 |
| Last Update Date | 2018-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD-40001 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040826 | Amanda Johnson | Technician | 1401 S Seward Meridian Pkwy # Ab, Wasilla, AK 99654-8312 | 2020-10-15 |
| 1184221178 | Amanda Elisa Johnson | Registered Nurse | 36 Chadwick Mnr, Fairport, NY 14450-8820 | 2020-10-03 |
| 1487263422 | Amanda Johnson | Nurse Practitioner | 1112 N Main Ave, Erwin, TN 37650-1508 | 2020-07-27 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1275022279 | Amanda Johnson | Chiropractor | 14555 E Arapahoe Rd Unit B, Aurora, CO 80016-1584 | 2018-05-04 |
| 1215438031 | Amanda D Johnson | Licensed Practical Nurse | 501 Fletcher Ave Apt 12, Lincoln, NE 68521-1364 | 2018-02-27 |
| 1508374174 | Amanda L Johnson | Nurse Practitioner | 108 Brenray Dr, Harriman, TN 37748-5148 | 2018-01-17 |
| 1063935807 | Amanda Nicole Johnson | Home Health Aide | 5831 Ravenna Ave, Louisville, OH 44641-9216 | 2017-07-24 |
| 1174058283 | Amanda Johnson | Counselor | 8370 Us Highway 82 E, Sherman, TX 75090-2404 | 2017-04-26 |
| 1023556255 | Amanda Johnson | Community Based Residential Treatment Facility, Mental Illness | 1442 Valota Rd, Redwood City, CA 94061-2620 | 2017-02-08 |
| Street Address |
4323 NW URBANDALE DRIVE |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821005430 | Kelly Reed | Family Medicine | 4323 Nw Urbandale Drive, Urbandale, IA 50322 | 2006-08-03 |
| 1336272103 | Narasimha Murthy Palagummi | Internal Medicine | 4323 Nw Urbandale Drive, Urbandale, IA 50322 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1639779283 | Melinda Heverly | Family Medicine | 6343 Sutton Dr, Urbandale, IA 50322-8053 | 2020-10-31 |
| 1174951560 | Audrey Porter | Family Medicine | 2413 71st St, Urbandale, IA 50322-4862 | 2013-10-22 |
| 1083626063 | Wayne Belling | Family Medicine | 3403 159th St, Urbandale, IA 50323-2482 | 2006-08-11 |
| 1821005430 | Kelly Reed | Family Medicine | 4323 Nw Urbandale Drive, Urbandale, IA 50322 | 2006-08-03 |
| 1841213717 | John Travis Howell | Family Medicine | 7755 Hickman Rd, Urbandale, IA 50322-4511 | 2006-07-25 |
| 1063438638 | Mercy Clinics, Inc | Family Medicine | 6200 Aurora Ave Ste 100w, Urbandale, IA 50322-2836 | 2006-07-15 |
| 1225488414 | Andrew Joseph Mcmurray | Family Medicine | 4323 Nw Urbandale Dr, Urbandale, IA 50322 | 2016-06-17 |
| 1972980902 | Kevin Hanigan | Family Medicine | 6200 Aurora Ave Ste 100w, Urbandale, IA 50322-2836 | 2015-04-28 |
| 1851689905 | Jessica Kennedy | Family Medicine | 4323 Nw Urbandale Dr, Urbandale, IA 50322 | 2011-07-11 |
| 1194953844 | Kimberley P Bauman | Family Medicine | 6200 Aurora Ave, Urbandale, IA 50322-2800 | 2009-07-01 |
| Find all providers in URBANDALE | ||||
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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.