MRS. AMANDA KATHLEEN JETT (NPI# 1568908416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568908416 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA KATHLEEN JETT |
| Other Name | AMANDA KATHLEEN SINISE |
| Credential | FNP |
| Practice Address |
6071 Telegraph Rd Saint Louis MO 63129-4758 |
| Mailing Address |
Po Box 955534 Saint Louis MO 63195-5534 |
| Practice Telephone | 3146872712 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2016039167 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2016039167 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1015 Bowles Avenue, Fenton, MO 63026 | 6364965000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225522634 | Amanda C Jett | Pediatrics | 575 Westar Xing Ste 101, Westerville, OH 43082-7815 | 2018-06-19 |
| 1427679539 | Amanda Ellice Jett | Specialist | 100 Adams Ln, Oak Ridge, TN 37830-4909 | 2020-04-29 |
| 1013371798 | Amanda Jett | Pharmacist | 2100 Gardiner Ln, Louisville, KY 40205-2962 | 2016-04-08 |
| Street Address |
6071 TELEGRAPH RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129-4758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629151 | Jessica J Woolsey | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2020-08-12 |
| 1780175299 | Jamie Lauren Partin | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2018-05-21 |
| 1679077358 | Elizabeth Erin King | Registered Nurse | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2018-03-19 |
| 1154742112 | Kathleen Kalz Meyer | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2013-12-18 |
| 1457636979 | Frank Joseph Homa | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-10-16 |
| 1225312812 | Erin Sweet | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-10-01 |
| 1194005769 | Margaret C Ackland | Pharmacist | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2011-08-26 |
| 1467780304 | Maricarolyn Rucker | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2009-12-04 |
| 1215134150 | Melinda S Tripp | Nurse Practitioner | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2007-07-02 |
| 1477568616 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6071 Telegraph Rd, Saint Louis, MO 63129-4758 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221160 | Zachary Wade Orr | Nurse Practitioner | 1622 S 18th St, Saint Louis, MO 63104-2504 | 2020-10-02 |
| 1073128518 | Christen Rincker | Nurse Practitioner | 2343 Hickory St, Saint Louis, MO 63104-2418 | 2020-09-11 |
| 1861026650 | Kelly Ann Clark | Nurse Practitioner | 4590 Childrens Pl, Saint Louis, MO 63110-1020 | 2020-03-02 |
| 1902444292 | Tony Duy Le | Nurse Practitioner | 1251 Hyannis Dr, Saint Louis, MO 63146-4639 | 2019-12-17 |
| 1114562154 | Lisa Pezold | Nurse Practitioner | 2029 Woodland Pkwy, Saint Louis, MO 63146-4267 | 2019-11-13 |
| 1255806527 | Rachel Ramos | Nurse Practitioner | 11133 Dunn Rd Ste 209e, Saint Louis, MO 63136-6163 | 2018-10-12 |
| 1851893341 | Jessica Rae Britt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz Fl 10, 10th Fl, Saint Louis, MO 63110-1003 | 2018-03-01 |
| 1952816449 | Loreta Shahinaj | Nurse Practitioner | 12700 Southfork Rd Ste 270, Saint Louis, MO 63128-3201 | 2017-12-06 |
| 1689183832 | Natalie Michelle Barone | Nurse Practitioner | 3023 N Ballas Rd Ste 630, Saint Louis, MO 63131-2361 | 2017-09-20 |
| 1194240986 | Laura Kaesser | Nurse Practitioner | 11125 Dunn Rd Ste 204, Saint Louis, MO 63136-6188 | 2017-08-14 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63129 |
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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.