MS. AMANDA LYN WEED (NPI# 1578942686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578942686 |
| Entity Type | Individual |
| Full Name | MS. AMANDA LYN WEED |
| Credential | APN |
| Practice Address |
2200 E Washington St Bloomington IL 61701-4364 |
| Mailing Address |
24915 N Copperas Creek Rd Canton IL 61520-8644 |
| Practice Telephone | 3096623311 |
| Practice Fax Number | 3096640969 |
| Mailing Telephone | 3092325183 |
| Mailing Fax Number | 3096640969 |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
209012318 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2200 E WASHINGTON ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-4364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383139 | Liza M. Pilch | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2005-08-15 |
| 1154930436 | Tianna Elaine Marie Nicholas | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-07-23 |
| 1063040004 | Bailey Wilson | Occupational Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-03-27 |
| 1679104624 | Mark Garbek | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-29 |
| 1326688870 | Shannon Colleen Trosper | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2020-01-13 |
| 1174174536 | Ivanna Tiffany Yu | Physician Assistant | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-09-26 |
| 1912564634 | Hanna Marguerite Cresci | Speech-Language Pathologist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2019-05-29 |
| 1730654336 | Samantha Schuckles | Physical Therapist | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-10-10 |
| 1447758107 | Theresa M Hill | Nurse Practitioner | 2200 E Washington St, Bloomington, IL 61701-4364 | 2018-01-29 |
| 1821527201 | Jacob Peter Holton | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578964987 | Kristin N Wilkins | Clinical Nurse Specialist | 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 | 2014-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942668355 | Joannne Geralyn Delany | Clinical Nurse Specialist | 13133 Meadowview Ln, Homer Glen, IL 60491-9155 | 2016-02-01 |
| 1033559802 | Shannon L Laesch | Clinical Nurse Specialist | 2005 Jacobssen Dr Ste A, Normal, IL 61761-6288 | 2013-06-26 |
| 1427323898 | Kara Michelle Aalfs | Clinical Nurse Specialist | 6n910 Gilmore Dr, Saint Charles, IL 60175-8314 | 2012-03-18 |
| 1528351962 | Kristi Kae Williams | Clinical Nurse Specialist | 530 Ne Glenoak Avenue Pob Suite 108, Peoria, IL 61603-3117 | 2011-05-18 |
| 1427356336 | Lissa J Diefendorf | Clinical Nurse Specialist | 403 W Corrington Ave, Peoria, IL 61604-2803 | 2011-03-02 |
| 1326354358 | Sheila A Harmon | Clinical Nurse Specialist | 654 East 47th St, Access Booker Family Health Center, Chicago, IL 60653-4224 | 2010-08-27 |
| 1689283723 | Michelle Marie Lovsey | Clinical Nurse Specialist | 1 Saint Anthonys Way, Alton, IL 62002-4568 | 2020-07-24 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1144728155 | Euphemia M Connell | Clinical Nurse Specialist | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-01-24 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.