MRS. AMANDA JO BROWN (NPI# 1285941872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285941872 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA JO BROWN |
| Other Name | AMANDA MILLER |
| Credential | PA-C |
| Practice Address |
3173 43rd Street S Ste A Fargo ND 58104-4564 |
| Practice Telephone | 7014788780 |
| Practice Fax Number | 7014788781 |
| Mailing Telephone | 7014788780 |
| Mailing Fax Number | 7014788781 |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAC0437 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PAC0437 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1285941872 | 05 | |
| ND | 71131 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790395424 | Amanda Brown | Dietitian, Registered | 14104 Mohawk Rd, Leawood, KS 66224-1123 | 2020-08-06 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1922577519 | Amanda Brown | Registered Nurse | 62 Utica St, Clinton, NY 13323-1528 | 2018-11-13 |
| 1316430234 | Amanda Brown | Nurse Practitioner | 222 E Oak Ridge Dr Ste 1200, Hagerstown, MD 21740-7858 | 2018-06-14 |
| 1306348388 | Amanda Ellen Brown | Speech-Language Pathologist | 2500 Rodgers St, Chesapeake, VA 23324-1960 | 2018-03-06 |
| 1023547593 | Amanda Brown | Counselor | 30 Buxton Farm Rd Ste 105, Stamford, CT 06905-1210 | 2017-06-08 |
| 1619412749 | Amanda Brown | Behavioral Analyst | 9845 Seminole Blvd Apt 4, Seminole, FL 33772-2531 | 2016-12-28 |
| 1427408533 | Amanda Brown | Technician, Other | 22176 Arbor Ln, Farmington Hills, MI 48336-5119 | 2016-06-20 |
| 1700254380 | Amanda Savage Brown | Social Worker | 1000 Hart Rd Ste 201, Barrington, IL 60010-2669 | 2015-09-13 |
| 1740674969 | Amanda Lee Brown | Marriage & Family Therapist | 749 Concord Ave, Drexel Hill, PA 19026-2401 | 2015-03-25 |
| Street Address |
3173 43RD STREET S STE A |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205031713 | Rachel C Ness | Dermatology | 3173 43rd Street S Ste A, Fargo, ND 58104-4564 | 2007-06-15 |
| 1427310614 | Nikki Lea Welk | Physician Assistant | 3173 43rd Street S Ste A, Fargo, ND 58104-4564 | 2012-06-13 |
| 1699942581 | Rachel Ness M.d., Pllc | Dermatology | 3173 43rd Street S Ste A, Fargo, ND 58104-4564 | 2008-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1295069664 | Megan Jean Boose | Physician Assistant | 3173 43rd St S Ste A, Fargo, ND 58104-4564 | 2009-10-01 |
| 1487715405 | Nancy M Eastman | Physician Assistant | 4622 40th Ave S, Fargo, ND 58104-4394 | 2006-12-13 |
| 1700826369 | Jeanne Waalen | Physician Assistant | 4200 Woodhaven St Sw, Fargo, ND 58104-3946 | 2006-06-08 |
| 1982642773 | Linda K Regan | Physician Assistant | 1800 21st Avenue South, Fargo, ND 58103 | 2006-06-03 |
| 1437153905 | Jay R Metzger | Physician Assistant | 306 4th St N, Fargo, ND 58102-4820 | 2005-06-13 |
| 1538786728 | Peter V Tronset | Physician Assistant | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-03 |
| 1750908455 | Jordan Ann Wiedmann | Physician Assistant | 3201 33rd St S, Fargo, ND 58104-8823 | 2020-06-29 |
| 1144842089 | Matthew Hockert | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-05-14 |
| 1770110777 | Steffani Nicole Johnston Mack | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-03-27 |
| Find all providers in FARGO | ||||
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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.