AMANDA M MIXON (NPI# 1174795017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174795017 |
| Entity Type | Individual |
| Full Name | AMANDA M MIXON |
| Credential | PA-C |
| Practice Address |
1715 Iron Horse Dr Ste 100 Longmont CO 80501-9617 |
| Practice Telephone | 7204944700 |
| Practice Fax Number | 7204944706 |
| Mailing Telephone | 7204944700 |
| Mailing Fax Number | 7204944706 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0002872 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1840 Folsom St Ste 105, Boulder, CO 803025712 | 7204944700 | 7204944706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417071309 | Amanda Salanitro Mixon | Internal Medicine | 3601 The Vanderbilt Clinic, Nashville, TN 37212-5100 | 2007-03-18 |
| Street Address |
1715 IRON HORSE DR STE 100 |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-9617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710929641 | Jeffrey D. Perkins | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2006-06-12 |
| 1083032593 | Hayley Barnett Walter | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2014-04-01 |
| 1659660603 | Nicole Swavely | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2011-03-30 |
| 1093031940 | Jonathan Ray Kruger | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2010-04-18 |
| 1629120761 | Jill Gibson | Internal Medicine | 1715 Iron Horse Dr Ste 100, Longmont, CO 80501-9617 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871730101 | Jonathan Hugh Manto | Physician Assistant | 220 E. Rogers Rd, Longmont, CO 80501 | 2009-01-08 |
| 1669939823 | Daniel Stepan | Physician Assistant | 2030 Mountain View Ave Ste 540, Longmont, CO 80501-3183 | 2019-02-25 |
| 1003274192 | Colin Strack | Physician Assistant | 205 S Main St, Suite A, Longmont, CO 80501-1716 | 2016-02-03 |
| 1528430717 | Chelsea Lauren Mclean | Physician Assistant | 1925 Mountain View Ave, Longmont, CO 80501-3128 | 2015-10-27 |
| 1366718983 | Katherine K Olson | Physician Assistant | 2030 Mountain View Ave, Suite 420, Longmont, CO 80501-3178 | 2012-03-28 |
| 1841599354 | Andrew Duffield Hildner | Physician Assistant | 1551 Professional Ln, Suite 200, Longmont, CO 80501-6972 | 2011-03-23 |
| 1194023887 | Justin J Springett | Physician Assistant | 2345 Bent Way, Longmont, CO 80503-7614 | 2011-03-04 |
| 1518986751 | Amber Rae Payne | Physician Assistant | 205 S Main St, Ste. B, Longmont, CO 80501-1716 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1700430261 | Brianne Tanae Harper | Physician Assistant | 2530 N 8th St Suite 205, Grand Junction, CO 81501 | 2019-08-01 |
| 1013478445 | Robin Elise Feldman | Physician Assistant | 17033 E Dorado Dr, Centennial, CO 80015-3029 | 2019-03-28 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1639650252 | Jade Golden | Physician Assistant | 101 Founders Pl Ste 109, Aspen, CO 81611-1476 | 2018-08-22 |
| 1861902157 | Hannah Ellen Martin | Physician Assistant | Children's Hospital Colorado 13123 East 16th Avenue, Box 060, Aurora, CO 80045-0600 | 2017-10-02 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
| 1912433400 | Wendy Miller | Physician Assistant | 4041 E Forbes Ct, Greenwood Village, CO 80121-3943 | 2017-05-03 |
| 1154863249 | Zachary A Hitchcock | Physician Assistant | 1107 S Lemay Ave Ste 240, Fort Collins, CO 80524-3959 | 2016-11-07 |
| Find all providers with the same taxonomy | ||||
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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.