AMANDA BROCKSIECK (NPI# 1871993105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871993105 |
| Entity Type | Individual |
| Full Name | AMANDA BROCKSIECK |
| Credential | ARNP |
| Practice Address |
400 E Polk St Washington IA 52353-1237 |
| Mailing Address |
Po Box 909 Washington IA 52353-0909 |
| Practice Telephone | 3196535481 |
| Mailing Telephone | 3196535481 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2018-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
L114471 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 E POLK ST |
| City | WASHINGTON |
| State | IA |
| Zip Code | 52353-1237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902899586 | Curtis J Frier | General Practice | 400 E Polk St, Pob 909, Washington, IA 52353-1237 | 2005-08-29 |
| 1326402355 | Washington County Hospital | Psychiatry & Neurology | 400 E Polk St, Washington, IA 52353-1237 | 2016-04-06 |
| 1396114872 | Mary Theresa Josephine Seddon | Pharmacist | 400 E Polk St, Washington, IA 52353-1237 | 2015-09-15 |
| 1518216852 | Katie D Mitchell | Pharmacist | 400 E Polk St, Washington, IA 52353-1237 | 2012-08-31 |
| 1255602942 | Midori Gingerich | Dietitian, Registered | 400 E Polk St, Washington, IA 52353-1237 | 2012-01-26 |
| 1386914828 | Michael C Mcgowan | Nurse Anesthetist, Certified Registered | 400 E Polk St, Washington, IA 52353 | 2011-12-30 |
| 1205086337 | Sumin Tammy Li | General Practice | 400 E Polk St, Washington, IA 52353-1237 | 2008-09-25 |
| 1366656530 | Washington County Hospital | Emergency Medicine | 400 E Polk St, Washington, IA 52353-1237 | 2007-05-09 |
| 1063567964 | Pamela V Gedney | Nurse Practitioner | 400 E Polk St, Washington, IA 52353-1237 | 2007-01-24 |
| 1114952843 | Anne Sposato | Dietitian, Registered | 400 E Polk St, Washington, IA 52353-1237 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386282994 | United Presbyterian Home | Occupational Therapy Assistant | 31 Maple Lane, Washington, IA 52353 | 2019-12-13 |
| 1306001110 | Dental Care By The Square | Point of Service | 1051 West Madison Street, Washington, IA 52353 | 2008-07-21 |
| 1174727242 | Washington County Mini Bus Inc | Bus | 1010 W 5th, Washington, IA 52353 | 2007-06-13 |
| 1538373717 | Washington County Hospital | Medicare Defined Swing Bed Unit | 400 East Polk Street, Washington, IA 52353 | 2007-05-09 |
| 1194946459 | James Lewis Vanwinkle | Pharmacist | 400 E Polk, Washington, IA 52353 | 2007-05-02 |
| 1780701094 | Kim D Malichky | Pharmacist | 528 S Hwy #1, Washington, IA 52353 | 2007-03-23 |
| 1154736916 | Kelsey Renee Bayliss | Pharmacist | 222 S Iowa Ave, Washington, IA 52353 | 2014-06-30 |
| 1689896532 | Todd Lynn Salow | Chiropractor | 112 E Washington St, Washington, IA 52353 | 2007-05-02 |
| 1285696906 | Family Counseling Services LLC | Social Worker | 110 N Iowa Ave, Suite 510, Washington, IA 52353 | 2006-04-06 |
| 1376537027 | Washington County Ambulance, Inc. | Ambulance | 1120 N 8th Ave, Box 371, Washington, IA 52353-0371 | 2005-09-08 |
| Find all providers in zip 52353 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973947 | Michael Allen Parsley | Nurse Practitioner | 110 Irving St Nw # At, Washington, DC 20010-3017 | 2019-10-14 |
| 1659927606 | Susan Thornton Oyola | Nurse Practitioner | 110 Irving St Nw Unit 3ne, Washington, DC 20010-3017 | 2019-08-15 |
| 1770055006 | Melanie Dawn Sims | Nurse Practitioner | 110 Irving St Nw # 4b-42, Washington, DC 20010-3017 | 2018-12-27 |
| 1396285680 | Jessica Jean Thurn | Nurse Practitioner | 201 I St Ne, Apt. 408, Washington, DC 20002-4449 | 2017-03-06 |
| 1790150688 | Polly Rebecca Jackson | Nurse Practitioner | 4875 N 4 Mile Rd, Washington, MO 63090-3931 | 2015-12-03 |
| 1437418563 | Alyson Severino | Nurse Practitioner | 110 Irving St Nw # 424b, Washington, DC 20010-3017 | 2012-05-09 |
| 1033340799 | Floyd Joseph Johnson IIi | Nurse Practitioner | 2131 K St Nw Ste 201, Washington, DC 20037-1856 | 2009-07-29 |
| 1073753224 | Latoya Michon Taylor | Nurse Practitioner | 2041 Georgia Ave Nw Towers 2322, Washington, DC 20060 | 2009-03-01 |
| 1427197888 | Anna Lisa Licud | Nurse Practitioner | 110 Irving St., Nw, Whc Surgical Critical Care Service Suite 4b-42, Washington, DC 20010-2975 | 2007-02-05 |
| 1376638866 | Amanda Champion Bunch | Nurse Practitioner | 1203 Carolina Ave, Washington, NC 27889-3571 | 2006-10-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 52353 |
Please comment or provide details below to improve the information on AMANDA BROCKSIECK.
| 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.