DR. AMY JO LAVALLA (NPI# 1215312236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215312236 |
| Entity Type | Individual |
| Full Name | DR. AMY JO LAVALLA |
| Practice Address |
1010 32nd Ave S Moorhead MN 56560-5001 |
| Practice Telephone | 2182337524 |
| Mailing Telephone | 2182337524 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2016-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R37868 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP 4017 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1010 32ND AVE S |
| City | MOORHEAD |
| State | MN |
| Zip Code | 56560-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952358004 | Cheryl L. Toutges | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-05-27 |
| 1043554207 | Brian John Martin | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2012-11-11 |
| 1093014508 | Abby Lynn Steer | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2011-03-23 |
| 1659520732 | Kelli Ann Gast | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560 | 2008-09-15 |
| 1245357201 | Allison M Wieser | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2007-03-23 |
| 1962434332 | Brian M Grandpre | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-07-07 |
| 1831135185 | Jacqueline Janette Crawford | Psychologist | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-06-22 |
| 1710920905 | John A. Molstre | Psychologist | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-06-14 |
| 1033156393 | Craig L. Weickert | Social Worker | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-06-02 |
| 1457398711 | Robert Dennis Staton | Psychiatry & Neurology | 1010 32nd Ave S, Moorhead, MN 56560-5001 | 2006-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386298859 | Anna Mckay Fox | Pharmacist | 4000 28th Avenue S, Moorhead, MN 56560 | 2019-08-01 |
| 1972019727 | Michael Wayne Hilliard | Specialist/Technologist | 649 17th St S, Moorhead, MN 56560 | 2017-12-15 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1083037709 | Drake Counseling Services, Inc. | Clinic/Center | 715 11th Street North, Suite 204, Moorhead, MN 56560 | 2014-01-31 |
| 1710310917 | Lamar Terrell Hill | Social Worker | 420 Center Ave Ste 102, Moorhead, MN 56560 | 2013-08-12 |
| 1982956140 | Lilac Homes Corporation | Assisted Living Facility | 2615 Parkview Dr, Moorhead, MN 56560 | 2012-10-11 |
| 1487918462 | Paige Joy Hanson | Massage Therapist | 805 14th St. So., Msum Wellness Center, Moorhead, MN 56560 | 2012-06-25 |
| 1972809408 | Cslm, LLC | Assisted Living Facility | 2401 South 11th Street, Moorhead, MN 56560 | 2011-02-01 |
| 1972814846 | Paul Michael Fluto | Pharmacist | 3000 Hwy 10 East, Mooehead, MN 56560 | 2010-06-25 |
| Find all providers in zip 56560 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877052 | Midwest Mental Health Clinic | Nurse Practitioner | 819 30th Ave S Office 206 Suite B, Moorhead, MN 56560 | 2015-07-29 |
| 1326655689 | Samir Golos | Nurse Practitioner | 1301 8th St S, Moorhead, MN 56560-3604 | 2020-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. AMY JO LAVALLA.
| 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.