AMANDA L GILLIS (NPI# 1972650232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972650232 |
| Entity Type | Individual |
| Full Name | AMANDA L GILLIS |
| Credential | MNT |
| Practice Address |
8901 W Lincoln Ave West Allis WI 53227-2409 |
| Mailing Address |
14325 W Maple Ridge Rd New Berlin WI 53151-6823 |
| Practice Telephone | 4143286214 |
| Mailing Telephone | 4143287498 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1687 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134645260 | Amanda J Gillis | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2017-08-21 |
| Street Address |
8901 W LINCOLN AVE |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603957 | Frederick A Heiden | Anesthesiology | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2005-07-20 |
| 1801496500 | Laney Marie Hemer | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-10-30 |
| 1649888389 | Melissa A Jackson | Registered Nurse | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-07-20 |
| 1679193494 | Jade Noel | Physical Therapy Assistant | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-22 |
| 1740800606 | Andrew Wieting | Physical Medicine & Rehabilitation | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-21 |
| 1104455864 | Andrew D Merkel | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-04-05 |
| 1649807645 | Megan Devine | Speech-Language Pathologist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1144858002 | Rachel Ball-tobin | Massage Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2020-03-27 |
| 1093353583 | Mckayla Figueroa | Physical Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-12-15 |
| 1407417629 | Stacy Neumann | Occupational Therapist | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2019-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221180 | Emilie Williamson | Dietitian, Registered | 1340 S 72nd St, West Allis, WI 53214-3122 | 2020-07-03 |
| 1588009443 | Kelly Drew | Dietitian, Registered | 736 S 105th St, West Allis, WI 53214-2542 | 2013-05-06 |
| 1477500361 | Commonwealth Medical Group, LLC | Dietitian, Registered | 851 S 70th St, Suite 101, West Allis, WI 53214-3147 | 2006-05-27 |
| 1720448285 | Laura Valestin | Dietitian, Registered | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2016-02-26 |
| 1255709044 | Jody Montgomery | Dietitian, Registered | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2015-09-10 |
| 1821238817 | Maureen Cline | Dietitian, Registered | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2009-03-03 |
| 1831368646 | Pat A Buck | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214 | 2008-02-26 |
| 1932378999 | Laurie A Lacoursiere | Dietitian, Registered | 555 S 108th St, West Allis, WI 53214-1100 | 2008-02-25 |
| 1225225287 | Patrick Welscher | Dietitian, Registered | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2007-10-03 |
| 1457426710 | Sandy Sell | Dietitian, Registered | 8901 W Lincoln Ave, West Allis, WI 53227-2409 | 2006-11-22 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
Please comment or provide details below to improve the information on AMANDA L GILLIS.
| 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.