AMANDA THOMPSON (NPI# 1538785407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538785407 |
| Entity Type | Individual |
| Full Name | AMANDA THOMPSON |
| Credential | DNP, APRN, AGACNP-BC |
| Practice Address |
4440 W 95th St Oak Lawn IL 60453-2600 |
| Mailing Address |
2752 N Mildred Ave Apt 2 Chicago IL 60614-6653 |
| Practice Telephone | 7086848000 |
| Mailing Telephone | 2196282345 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209.021222 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209021222 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| 1205288214 | Amanda Thompson | Speech-Language Pathologist | 8505 W Center St Apt 3, Milwaukee, WI 53222-4757 | 2016-07-01 |
| 1144690413 | Amanda Thompson | Nurse Practitioner | 502 N Dowden Rd, Ste. 105, Wolfforth, TX 79382-5514 | 2015-09-30 |
| 1386011740 | Amanda Thompson | Registered Nurse | 507 Norwest Dr, Norwood, MA 02062-1482 | 2015-09-01 |
| 1043604044 | Amanda M Thompson | Pediatrics | 711 W 40th St Ste 438, Baltimore, MD 21211-2199 | 2015-03-27 |
| 1952706806 | Amanda Thompson | Speech-Language Pathologist | 400 W 64th St, Inglewood, CA 90302-1130 | 2014-11-04 |
| 1306275102 | Amanda Mae Thompson | Home Health Aide | 430 W 28th St, Ashtabula, OH 44004-4976 | 2013-11-02 |
| 1134569593 | Amanda A Thompson | Licensed Practical Nurse | 892 Lorenz Ave, North Baldwin, NY 11510-2821 | 2013-07-01 |
| 1831454834 | Amanda Ann Thompson | Counselor | 766 Roberta St, Salt Lake City, UT 84111-3818 | 2012-07-06 |
| 1760614705 | Amanda L Thompson | Psychologist | 8081 Innovation Park Dr Ste 2201, Fairfax, VA 22031-4867 | 2009-08-09 |
| Street Address |
4440 W 95TH ST |
| City | OAK LAWN |
| State | IL |
| Zip Code | 60453-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805666 | Kenneth S. Toth | Anesthesiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2005-07-15 |
| 1821697392 | Marissa Vavra | Occupational Therapist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-25 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
| 1255943999 | Kristen Michele Hill | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-08-22 |
| 1033735295 | Thomas Panicucci | Registered Nurse | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-23 |
| 1508481250 | Amy Marie Fader | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-06-09 |
| 1528680139 | Nader Hamzeh Darwish | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-18 |
| 1003438920 | Anna Manilla | Speech-Language Pathologist | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-05-13 |
| 1710508783 | Caitlin Cronin | Physical Medicine & Rehabilitation | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
| 1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
| 1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
| 1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
| 1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
| 1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
| 1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
| 1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
| Find all providers in zip 60453 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831646991 | Kristen Shelhorse | Nurse Practitioner | 4440 95th Street, Oak Lawn, IL 60453 | 2016-09-07 |
| 1013918598 | Thomas F. Gutchewsky | Nurse Practitioner | 4400 W 95th St Ste 205, Cardiothoracic and Vascular Surgical Associates, Oak Lawn, IL 60453-2658 | 2005-08-09 |
| 1215535638 | Jarrod Siek Georgacakis | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-10-16 |
| 1629683289 | Allison Gilbert | Nurse Practitioner | 4400 W 95th St, Oak Lawn, IL 60453-2654 | 2020-09-10 |
| 1477188449 | Dalia Sawicki | Nurse Practitioner | 4440 West 95th Street, Ashu, Oak Lawn, IL 60453 | 2020-03-10 |
| 1346708971 | Kelly Keating | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2019-03-02 |
| 1689140725 | Krista Erika Shea | Nurse Practitioner | 4440 W 95th St Fl 6, Oak Lawn, IL 60453-2600 | 2018-10-16 |
| 1992287916 | Jennifer R Wereski | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-09-06 |
| 1922586163 | Maria Goetz | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-07-31 |
| 1790272789 | Brandon K Bell | Nurse Practitioner | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2018-04-16 |
| Find all providers in OAK LAWN | ||||
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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.