AMANDA ENDRIZZI (NPI# 1477981421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477981421 |
| Entity Type | Individual |
| Full Name | AMANDA ENDRIZZI |
| Other Name | AMANDA BOLANOWSKI |
| Credential | MSPA |
| Practice Address |
803 North 1st Street Vienna IL 62995 |
| Mailing Address |
513 N Main St Anna IL 62906-1668 |
| Practice Telephone | 6186582811 |
| Practice Fax Number | 6186582439 |
| Mailing Telephone | 6188334471 |
| Mailing Fax Number | 6188336267 |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2016-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085004839 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
803 NORTH 1ST STREET |
| City | VIENNA |
| State | IL |
| Zip Code | 62995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538663463 | Gregory M Blakely | Physical Therapist | 811 North 1st Street, Vienna, IL 62995 | 2018-03-23 |
| 1194101196 | Ashley Laws | Counselor | 408 E. Vine, Vienna, IL 62995 | 2015-08-03 |
| 1780831453 | Family Counseling Center, Inc. | Community Based Residential Treatment Facility, Mental Illness | 904 Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1528215290 | Family Counseling Center, Inc. | Clinic/Center | 406 East Vine Street, Vienna, IL 62995 | 2008-08-25 |
| 1770676207 | Martha Jane Crawford | Social Worker | 408 E Vine, Vienna, IL 62995 | 2006-10-02 |
| 1235147216 | Rachel Ann Edmonds | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
| 1376572552 | Bode Drug Inc | Pharmacy | 803 and One Half N First St, Vienna, IL 62995 | 2006-07-01 |
| 1578557476 | Roger Franklin High | Chiropractor | 122 N 4th St, Vienna, IL 62995 | 2005-09-07 |
| 1932263332 | Rural Health, Inc. | Clinic/Center | 803 N 1st St, Vienna, IL 62995 | 2006-12-20 |
| 1124036165 | Kimberly Dawn Ecker | Physical Therapist | 811 N 1st Street, Vienna, IL 62995 | 2006-08-04 |
| Find all providers in zip 62995 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962861096 | Tara Smith | Physician Assistant | 8233 Old Courthouse Rd Ste 170, Vienna, VA 22182-3833 | 2016-02-17 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| 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.