MRS. AMANDA LEE JOHNSON FLEMING (NPI# 1417494998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417494998 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA LEE JOHNSON FLEMING |
| Credential | CPNP-PC |
| Practice Address |
11010 Prairie Lakes Dr #350 Eden Prairie MN 55344-3884 |
| Mailing Address |
1900 Silver Lake Road Nw Suite 110 New Brighton MN 55112 |
| Practice Telephone | 9527462522 |
| Practice Fax Number | 9527460887 |
| Mailing Telephone | 6513791764 |
| Mailing Fax Number | 6513791738 |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
CNP4983 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11010 PRAIRIE LAKES DR #350 |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55344-3884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690689 | Eric W Goad | Psychiatry & Neurology | 11010 Prairie Lakes Dr, Suite 250, Eden Prairie, MN 55344-3884 | 2005-12-16 |
| 1801453402 | Chantel Osman | Counselor | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2019-05-20 |
| 1952861510 | Danae M Cowell | Counselor | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2019-03-20 |
| 1861944761 | Katheryn Alexander | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-10-27 |
| 1851847115 | Ingrid Sanchez | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-08-28 |
| 1427400936 | Justin Pope | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2016-07-08 |
| 1811349764 | Nancy Ann Lowe | Counselor | 11010 Prairie Lakes Dr, # 350, Eden Prairie, MN 55344-3884 | 2016-07-04 |
| 1699138701 | Joicy Thomas | Social Worker | 11010 Prairie Lakes Dr, Eden Prairie, MN 55344-3884 | 2016-04-05 |
| 1568859213 | Amber Reis | Marriage & Family Therapist | 11010 Prairie Lakes Dr, #350, Eden Prairie, MN 55344-3884 | 2015-04-21 |
| 1770985954 | Zachary Thomas Kahmeyer | Counselor | 11010 Prairie Lakes Dr, Suite 350, Eden Prairie, MN 55344-3884 | 2014-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366000572 | Hekima Care Inc. | Case Management | 8725 Columbine Rd Unit 46026, Eden Prairie, MN 55344 | 2019-06-03 |
| 1528537768 | Smile Eden Prairie | Dentist | 6600 City W. Pkwy #315, Eden Prairie, MN 55344 | 2018-11-16 |
| 1215439781 | Angelo Scherer | Counselor | 11010 Prairie Lakes Drive Suite 350, Eden Prairie, MN 55344 | 2018-03-01 |
| 1497272678 | Matthew Lynn | Occupational Therapist | 431 Prairie Center Drive, Eden Prairie, MN 55344 | 2017-08-28 |
| 1184178956 | Eric R Barrett | Audiologist | Starkey Center for Excellence, 6700 Washington Ave S, Eden Prairie, MN 55344 | 2016-08-10 |
| 1609218676 | Nations Care Link | Nurse Practitioner | 11000 Praire Lakes Dr, Suite 600, Eden Praire, MN 55344 | 2013-07-19 |
| 1497020390 | Alixa Rx LLC | Pharmacy | 10132 West 76th St, Eden Prairie, MN 55344 | 2012-03-12 |
| 1831467331 | Eagle Ridge Academy | Local Education Agency (LEA) | 7255 Flying Cloud Drive, Eden Prairie, MN 55344 | 2011-12-12 |
| 1205154739 | Eden Prairie School District 272 | Local Education Agency (LEA) | 8100 School Road, Eden Prairie, MN 55344 | 2010-05-07 |
| 1992030613 | Spinal Health | Chiropractor | 12100 Singletree Ln #129, Eden Prairie, MN 55344 | 2009-10-14 |
| Find all providers in zip 55344 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740799246 | Maya Bastian | Nurse Practitioner | 12220 Travois Rd, Eden Prairie, MN 55347-4241 | 2017-09-27 |
| 1679555171 | Nancy Fox Carlson | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-18 |
| 1497277438 | Katie Ann Eagle | Nurse Practitioner | 6452 City West Pkwy, Eden Prairie, MN 55344-3245 | 2017-07-12 |
| 1902182496 | Amanda Beth Kack Flannery | Nurse Practitioner | 12200 Middle Set Rd Ste 100, Eden Prairie, MN 55344-5420 | 2011-10-27 |
| 1447582028 | Pamela Shapiro Kaplan | Nurse Practitioner | 8455 Flying Cloud Dr, Suite 205, Eden Prairie, MN 55344-3974 | 2010-02-05 |
| 1215155643 | Patricia Leah Solinger | Nurse Practitioner | 800 Prairie Center Dr, Ste 120, Eden Prairie, MN 55344 | 2007-04-23 |
| 1821173956 | Lisa Pivotto Kroening | Nurse Practitioner | 18315 Cascade Dr, Ste 170, Eden Prairie, MN 55347-1180 | 2006-10-26 |
| 1295712289 | Amy Tannahill | Nurse Practitioner | 11455 Viking Dr, Ste 300, Eden Prairie, MN 55344-7251 | 2005-12-29 |
| 1215910492 | Marilou Pederson | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-22 |
| 1336121847 | Susan Kay Fix | Nurse Practitioner | 12200 Middle Set Rd, 100, Eden Prairie, MN 55344-5415 | 2005-11-18 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55344 |
Please comment or provide details below to improve the information on MRS. AMANDA LEE JOHNSON FLEMING.
| 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.