AMANDA BUTCHER (NPI# 1164957338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164957338 |
| Entity Type | Individual |
| Full Name | AMANDA BUTCHER |
| Practice Address |
550 S Landmark Ave Bloomington IN 47403 |
| Mailing Address |
550 S Landmark Ave Bloomington IN 47403-3239 |
| Practice Telephone | 8126764660 |
| Mailing Telephone | 8126764660 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71007401A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
28179003A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1520 S Liberty Dr, Bloomington, IN 474035167 | 8126764660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360580 | Amanda Butcher | Nurse Practitioner | 2475 Midland Rd Ste 2, Saginaw, MI 48603-8005 | 2020-09-15 |
| 1346885183 | Amanda Butcher | Behavior Technician | 1737 Veterans Memorial Hwy, Islandia, NY 11749-1529 | 2019-11-15 |
| 1922374735 | Amanda Leigh Butcher | Behavioral Analyst | 6 Southside Rd, Danvers, MA 01923-1409 | 2012-03-26 |
| 1942411616 | Amanda J Butcher | Pharmacist | 6430 W Saginaw Hwy, Lansing, MI 48917-1106 | 2007-05-24 |
| Street Address |
550 S LANDMARK AVE |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760487623 | Jean A. Creek | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-06-16 |
| 1225657877 | Valerie Mccullough | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-04-14 |
| 1104454768 | Haley C Richardson | Physician Assistant | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-03-30 |
| 1669003489 | Keira Bex | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2020-01-30 |
| 1992341770 | Melisse Nicole Ferree Gladwell | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-11-27 |
| 1841845658 | Rachael M Hamelink | Registered Nurse | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2019-08-08 |
| 1023592300 | Danielle Lee Rogers | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2018-09-21 |
| 1508382003 | Hilary Anderson | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-08-16 |
| 1205364494 | Hena Naz Shah | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-06-01 |
| 1396279709 | Mary Middagh | Nurse Practitioner | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2017-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035685 | Tara Malinowski | Nurse Practitioner | 2502 E Empire St, Bloomington, IL 61704-3738 | 2019-10-24 |
| 1033652243 | Sonal Mukesh Patel | Nurse Practitioner | 1701 E College Ave, Bloomington, IL 61704-2101 | 2016-11-21 |
| 1588655534 | Janet Rose Hitzeman | Nurse Practitioner | 1001 E 17th St, Bloomington, IN 47408-1590 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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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.