MISS AMY LYN VANDENBERG (NPI# 1952676421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952676421 |
| Entity Type | Individual |
| Full Name | MISS AMY LYN VANDENBERG |
| Credential | APNP |
| Practice Address |
920 E 28th St Minneapolis MN 55407-1139 |
| Mailing Address |
17640 Iceland Trail Lakeville MN 55044 |
| Practice Telephone | 6128636800 |
| Practice Fax Number | 6128636006 |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2015-12-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
144155-30 | WI | Nursing Service Providers |
| N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
144155-30 | WI | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 4962 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
4962-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720472046 | Amy Nicole Vandenberg | Internal Medicine | 500 S Cleveland Ave, Westerville, OH 43081 | 2015-03-25 |
| 1275524399 | Amy M Vandenberg | Pharmacist | 67 President St, Iop 3 North Room 339, Charleston, SC 29403-5712 | 2005-10-31 |
| Street Address |
920 E 28TH ST |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191200 | Jason James Rasmussen | Family Medicine | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 | 2005-11-15 |
| 1841737996 | Allina Health System | Surgery | 920 E 28th St, Ste 460, Minneapolis, MN 55407-1139 | 2017-01-27 |
| 1407307077 | Vanessa Rosen | Physician Assistant | 920 E 28th St, Suite #700, Minneapolis, MN 55407-1139 | 2016-10-19 |
| 1013392695 | Joseph Michael Franchino | Physician Assistant | 920 E 28th St, Ste. 400, Minneapolis, MN 55407-1139 | 2015-07-24 |
| 1700293289 | Lynelle Schneider | Physician Assistant | 920 E 28th St, Minneapolis, MN 55407-1139 | 2014-07-17 |
| 1366875486 | Teresa A French | Nurse Practitioner | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 | 2013-08-13 |
| 1679837413 | Michelle Dawn Vanhove | Nurse Practitioner | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 | 2012-06-26 |
| 1780945014 | Leah Kuipers | Nurse Practitioner | 920 E 28th St, Suite 300, Minneapolis, MN 55407-1139 | 2012-06-04 |
| 1235410705 | Brittany Ann Bradley | Physician Assistant | 920 E 28th St, Suite 610, Minneapolis, MN 55407-1139 | 2011-08-29 |
| 1447560305 | Erin Elizabeth Peterson | Nurse Practitioner | 920 E 28th St, Suite 700, Minneapolis, MN 55407-1139 | 2010-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821365305 | Nathaniel I Cree | Nurse Practitioner | 500 Harvard St., Fairview University Hospital, Minneapolis, MN 55455 | 2011-11-28 |
| 1457303067 | David A Palm | Nurse Practitioner | Hennepin County Medical Center, 701 Park Ave, Minneapolis, MN 55415 | 2006-05-16 |
| 1952930976 | Evan Douglas | Nurse Practitioner | 420 Delaware St Se, Mmc 295, Minneapolis, MN 55455 | 2020-04-02 |
| 1952950065 | Mara Joan Fritz | Nurse Practitioner | 920 E 28th St Ste 300, Minneapolis, MN 55407-1195 | 2019-09-11 |
| 1861059719 | Amelia Solei | Nurse Practitioner | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2019-05-28 |
| 1225503055 | Leah Jeane Jensen | Nurse Practitioner | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2018-10-08 |
| 1609306588 | Bray Johnson | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-06-14 |
| 1710413463 | Kimberlee Rae Guber | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2017-05-02 |
| 1659723047 | Leah Habicht | Nurse Practitioner | 800 E 28th St, Minneapolis, MN 55407-3723 | 2016-07-08 |
| 1679923072 | Elizabeth Kathryn Herrity | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415 | 2016-06-16 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on MISS AMY LYN VANDENBERG.
| 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.