AMANDA LEE KING (NPI# 1558962399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558962399 |
| Entity Type | Individual |
| Full Name | AMANDA LEE KING |
| Credential | APRN |
| Practice Address |
1406 6th Ave N Saint Cloud MN 56303-1900 |
| Mailing Address |
2605 Charlotte St Roseville MN 55113-2808 |
| Practice Telephone | 3202512700 |
| Mailing Telephone | 6512951783 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
7859 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881217065 | Amanda Laine King | Registered Nurse | 1511 Early Blvd, Early, TX 76802-2317 | 2020-05-22 |
| 1306475538 | Amanda S King | Specialist/Technologist | 3117 Cabinwood Dr, Louisville, KY 40220-2605 | 2020-04-08 |
| 1205471505 | Amanda Ester King | Counselor | 4005 Rifle Creek Trl, Billings, MT 59106-9689 | 2019-11-10 |
| 1396302618 | Amanda Lowrey King | Registered Nurse | 145 Rommel Ct, Springtown, TX 76082-5224 | 2019-05-22 |
| 1912481458 | Amanda Jonci King | Physical Therapy Assistant | 2519 43rd St, Lubbock, TX 79413-3225 | 2018-09-20 |
| 1790138204 | Amanda King | Counselor | 777 Woodlane Rd, Westampton, NJ 08060-3804 | 2016-07-20 |
| 1245682046 | Amanda King | Licensed Practical Nurse | 48 Colony Ln, Rochester, NY 14623-5412 | 2016-07-06 |
| 1407210883 | Amanda Nicole King | Obstetrics & Gynecology | 46325 W 12 Mile Rd Ste 250, Novi, MI 48377-2461 | 2016-04-11 |
| 1629445002 | Amanda Ann King | Specialist/Technologist | Central Michigan University Rose Center - Room 145, Mount Pleasant, MI 48859-9337 | 2015-09-01 |
| 1295144723 | Amanda C King | Physical Therapy Assistant | 280 King Ln, Nashville, GA 31639-5902 | 2014-08-08 |
| Street Address |
1406 6TH AVE N |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149939 | Ralph E Fedor | Radiology | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2005-07-26 |
| 1912512302 | Fadumo Hassan | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-09-11 |
| 1083228092 | Kristin Deneille Hazeman | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1901 | 2020-09-07 |
| 1508477845 | Taylor Dean Olson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1407467749 | Traci Jo Salveson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-11 |
| 1487264164 | Cameron Charles Hendrickson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-06 |
| 1154931475 | Megan Ann Brown | Nurse Practitioner | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-08-01 |
| 1326657255 | Amanda J Dircks | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-07-27 |
| 1003439241 | Mary Elizabeth Amundson | Registered Nurse | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-05-22 |
| 1548897978 | Casey M Theis | Marriage & Family Therapist | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245585926 | Bria M James | Nurse Practitioner | 1883 Sandbar Circle, Waconia, MN 55387-1072 | 2012-07-18 |
| 1356502124 | Nannette Marie Albright | Nurse Practitioner | Children's Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404 | 2008-06-24 |
| 1770551178 | Jaclyn M Schultz-czarniak | Nurse Practitioner | 349 Country Rd, Stillwater, MN 55082-5581 | 2006-03-10 |
| 1255930202 | Gershom Aaron Tam | Nurse Practitioner | 2525 Chicago Ave, Minneapolis, MN 55404-4518 | 2020-10-21 |
| 1184244139 | Ahnalieza Marie Brill | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-04-20 |
| 1063069284 | Korena Marie Katherine Kemerling-theobald | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2019-08-22 |
| 1972078632 | Kallie Renee Graham | Nurse Practitioner | 701 Park Ave, Minneapolis, MN 55415-1623 | 2018-10-09 |
| 1538641592 | Melissa Luanne Masselink | Nurse Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2018-09-05 |
| 1003354853 | Maria A Andrews | Nurse Practitioner | 2525 Chicago Avenue South, Minneapolis, MN 55404-4518 | 2017-02-01 |
| 1902357148 | Alison L Olson | Nurse Practitioner | 347 Smith Ave N, Saint Paul, MN 55102-2387 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on AMANDA LEE KING.
| 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.