AMANDA DERISE-JEWELL (NPI# 1417486093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417486093 |
| Entity Type | Individual |
| Full Name | AMANDA DERISE-JEWELL |
| Credential | NP |
| Practice Address |
557 W Washington St Burns OR 97720-1441 |
| Mailing Address |
1426 Leighton Dr Soddy Daisy TN 37379-9127 |
| Practice Telephone | 5415737281 |
| Mailing Telephone | 9315380417 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201704073NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
557 W WASHINGTON ST |
| City | BURNS |
| State | OR |
| Zip Code | 97720-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747745 | Ladd Shaner | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2005-08-22 |
| 1689291080 | Danyelle Lynn Peters | Nurse Practitioner | 557 W Washington St, Burns, OR 97720-1441 | 2020-07-01 |
| 1558856773 | Julia Clark | Community Health Worker | 557 W Washington St, Burns, OR 97720-1441 | 2018-06-29 |
| 1205345881 | Hui Wa Chan | Physician Assistant | 557 W Washington St, Burns, OR 97720-1441 | 2017-09-26 |
| 1568745057 | Michelle Steinbeck | Registered Nurse | 557 W Washington St, Burns, OR 97720-1441 | 2011-09-21 |
| 1518101856 | Corinne Lee Huseby | Pharmacist | 557 W Washington St, Burns, OR 97720-1441 | 2009-04-30 |
| 1073782470 | Harney District Hospital | Ambulance | 557 W Washington St, Burns, OR 97720-1441 | 2008-02-29 |
| 1912112293 | Richard Thein | Nurse Anesthetist, Certified Registered | 557 W Washington St, Burns, OR 97720 | 2007-05-11 |
| 1710104351 | Thomas Richards | Family Medicine | 557 W Washington St, Burns, OR 97720-1441 | 2007-04-18 |
| 1649356809 | Harney District Hospital | Durable Medical Equipment & Medical Supplies | 557 W Washington St, Burns, OR 97720-1441 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489388 | Courtney Colleen Mcmullen | Speech-Language Pathologist | 860 N. Court Ave, Burns, OR 97720 | 2020-02-19 |
| 1194900399 | Arntz Medical | Nursing Facility/Intermediate Care Facility | 229 N Egan, Burns, OR 97720 | 2008-01-07 |
| 1831231414 | County of Harney | Preventive Medicine | 420 N. Fairview, Burns, OR 97720 | 2007-02-12 |
| 1902956006 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-11 |
| 1700448032 | Allegiant Integrative Medicine | General Practice | 229 N Egan Ave, Burns, OR 97720 | 2019-07-08 |
| 1386008696 | Brittnee Zmuda | Student in an Organized Health Care Education/Training Program | 5005 N Piedras Street, El Paso, TX 97720 | 2016-04-12 |
| 1689812620 | County of Harney | Public Health or Welfare | 420 N. Fairview, Burns, OR 97720 | 2009-01-29 |
| 1124178868 | Symmetry Care, Inc. | Counselor | 348 W. Adams, Burns, OR 97720 | 2007-01-12 |
| 1316034838 | William Barstow | Obstetrics & Gynecology | 559 W Washington St, Burns, OR 97720 | 2006-10-06 |
| 1497782650 | Stanley L Kull | Dentist | 555 W Adams St, Burns, OR 97720-1408 | 2006-06-26 |
| Find all providers in zip 97720 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660589 | Toni J Feist | Nurse Practitioner | 559 W Washington St, Burns, OR 97720-1441 | 2005-12-22 |
| 1407830284 | Melanie Sue Arntz | Nurse Practitioner | 229 N Egan Ave, Burns, OR 97720-1741 | 2005-12-05 |
| 1689291080 | Danyelle Lynn Peters | Nurse Practitioner | 557 W Washington St, Burns, OR 97720-1441 | 2020-07-01 |
| 1598229718 | Clyde Russell Boswell | Nurse Practitioner | 999 Girl Scout Rd, Burns, TN 37029-9065 | 2019-01-23 |
| 1164933065 | Barbara Jean Rothgeb | Nurse Practitioner | 420 N Fairview Ave, Burns, OR 97720-1416 | 2017-10-18 |
| 1225300395 | Ashley Vanderdasson | Nurse Practitioner | 348 W Adams St, Burns, OR 97720-1710 | 2012-02-03 |
| 1003832494 | Jolene Cawlfield | Nurse Practitioner | 559 W Washington St, Burns, OR 97720-1441 | 2006-07-15 |
| 1144206954 | Michelle Davies | Nurse Practitioner | 229 N Egan Ave, Burns, OR 97720-1741 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
| 1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
| 1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
| 1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
| 1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
| 1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
| 1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
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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.