MS. AMANDA SUE ANDERSON (NPI# 1952797383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952797383 |
Entity Type | Individual |
Full Name | MS. AMANDA SUE ANDERSON |
Credential | ANP, FNP-BC |
Practice Address |
144 Oak Hill Dr Maryville IL 62062-6475 |
Mailing Address |
12 N 64th St Belleville IL 62223-3809 |
Practice Telephone | 6185202159 |
Mailing Telephone | 6183970900 |
Enumeration Date | 2015-04-13 |
Last Update Date | 2020-05-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
309.008691 | IL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.012702 | IL | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255939468 | Amanda Anderson | Occupational Therapist | 5323 Haventree Pl, Louisville, KY 40229-2259 | 2020-10-12 |
1124634860 | Amanda Anderson | Technician | 2503 Beverly St Apt 12b, Parkersburg, WV 26101-7153 | 2020-09-18 |
1043826746 | Amanda Anderson | Counselor | 3201 1st Ave S, Minneapolis, MN 55408-4407 | 2020-09-17 |
1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
1750897716 | Amanda Mary Anderson | Counselor | 10201 W Lincoln Ave Ste 308, West Allis, WI 53227-2136 | 2017-12-28 |
1508394792 | Amanda Diane Anderson | Registered Nurse | 2451 Intelliplex Dr Ste 240, Shelbyville, IN 46176-8581 | 2017-06-01 |
1124573613 | Amanda Anderson | Occupational Therapy Assistant | 26 Rykill Way, Palm Coast, FL 32164-3403 | 2016-08-24 |
1306217096 | Amanda Anderson | Registered Nurse | 103 Plymouth Dr Apt 2c, Norwood, MA 02062-5487 | 2015-10-07 |
1104292267 | Amanda Lynn Anderson | Physician Assistant | 550 E 8th Ave, Escondido, CA 92025-5121 | 2015-08-12 |
1386991263 | Amanda Ruth Anderson | Community Health Worker | 27500 102nd Ave Nw Ste 2, Stanwood, WA 98292-8092 | 2012-08-09 |
Street Address |
144 OAK HILL DR |
City | MARYVILLE |
State | IL |
Zip Code | 62062-6475 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
Find all providers in zip 62062 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821600693 | Tonya Ann Bosaw | Nurse Practitioner | 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 | 2020-08-21 |
1841815701 | Samantha Mclean | Nurse Practitioner | 2005 Kirkland Blvd, Maryville, TN 37803-3600 | 2020-06-16 |
1477102713 | Tammy Ann Buchanon | Nurse Practitioner | 2415 Effler Rd, Maryville, TN 37803-6609 | 2019-09-10 |
1316500812 | Caitlyn Michelle Chaires | Nurse Practitioner | 525 W Broadway Ave, Maryville, TN 37801-4782 | 2019-04-19 |
1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
1477902708 | Katherine Buckner | Nurse Practitioner | 708 Devictor Dr, Maryville, TN 37801-8666 | 2016-06-07 |
1124484415 | Shannon Everett | Nurse Practitioner | 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 | 2016-01-03 |
1992194401 | Alyssa R. Loepker | Nurse Practitioner | 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 | 2015-01-21 |
1477956076 | Lori B Crisp | Nurse Practitioner | 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 | 2014-09-27 |
1114260551 | Amanda Michelle Connoyer | Nurse Practitioner | 2023 Vadalabene Dr Ste 251, Maryville, IL 62062-5637 | 2013-04-04 |
Find all providers in MARYVILLE |
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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.