AMANDA KATE ENESTVEDT


Address: 1521 Carlson St, Marshall, MN 56258
Phone: 5075321101

AMANDA KATE ENESTVEDT (NPI# 1609323484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609323484
Entity Type Individual
Full Name AMANDA KATE ENESTVEDT
Other Name AMANDA KATE KOHLS
Credential RN CPNP-PC
Practice Address 1521 Carlson St
Marshall
MN 56258
Mailing Address 1521 Carlson St
Marshall
MN 56258-2626
Practice Telephone 5075321101
Practice Fax Number 5075321137
Mailing Telephone 5075321101
Mailing Fax Number 5075321137
Enumeration Date 2016-09-08
Last Update Date 2019-04-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
CNP 4775 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
610 30th Ave W, Alexandria, MN 563083426 3207632540 3207635749

Office Location

Street Address 1521 CARLSON ST
City MARSHALL
State MN
Zip Code 56258

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649246380 Vincent D Laporte Family Medicine 1521 Carlson St, Marshall, MN 56258-2626 2006-02-23
1407330301 Avera Marshall Clinic/Center 1521 Carlson St, Marshall, MN 56258-2626 2018-09-18
1770062804 Kasey Myers Nurse Practitioner 1521 Carlson St, Marshall, MN 56258-2626 2018-08-09
1851800510 Amanda Paradis Nurse Practitioner 1521 Carlson St, Marshall, MN 56258-2626 2017-09-26
1659724516 Jaclyn Victoria Parliament Physical Therapist 1521 Carlson St, Marshall, MN 56258-2626 2016-07-15
1962872994 Bobbi Jo Vandendriessche Nurse Practitioner 1521 Carlson St, Marshall, MN 56258-2626 2015-10-02
1477520542 Jason D Klein Nurse Anesthetist, Certified Registered 1521 Carlson St, Marshall, MN 56258-2626 2006-03-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285140012 Action Manufacturing Inc Durable Medical Equipment & Medical Supplies 1105 Lake Road, Marshall, MN 56258 2017-12-15
1124579123 Themarshrx Durable Medical Equipment & Medical Supplies 600 Sherman Ave, Marshall, MN 56258 2016-10-14
1780020370 Heritage Pointe Senio Assisted Living Facility 207 N 4th Street, Marshall, MI 56258 2013-05-22
1528351178 Lori Anne Lynner Family Medicine 3160 Us Hwy 59, Marshall, MN 56258 2011-05-16
1912148545 Tami J Behnke Counselor 1418 State Street, Campus Religious Center, Marshall, MN 56258 2009-03-11
1073768396 Sharyce Marie Audiology Inc Audiologist 1424 East College Drive, Suite 200, Marshall, MN 56258 2008-12-01
1497976625 Erica Anne Jost Specialist/Technologist 1501 State Street, Marshall, MN 56258 2007-05-02
1265597470 Nancy Louise Hemmingson Optometrist 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 2006-12-27
1407928187 Midwest Vision Centers Inc Technician/Technologist 1113 E College Drive, Marshall, MN 56258 2006-11-15
1306918354 Paul Joseph Puetz Chiropractor 111 Jewett St, Marshall, MN 56258 2006-11-14
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558764886 Robin Hogue Nurse Practitioner 618 S Grove St Ste 100&300, Marshall, TX 75670-5294 2014-10-01
1275932634 Macy Annette Massey Nurse Practitioner 2263 Highway 65 North, Marshall, AR 72650 2014-08-21
1659624328 Joan Turner Billeaud Nurse Practitioner 304 University Ave, Suite 105, Marshall, TX 75670-5210 2012-10-18
1326322975 Courtney June Blomme Nurse Practitioner 300 S Bruce St, Marshall, MN 56258-1934 2011-09-30
1669761235 Marie Clare Heimerdinger Nurse Practitioner 304 University Ave, Suite 105, Marshall, TX 75670-5210 2011-04-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518587120 Amanda Joy Dominik Nurse Practitioner 4411 Arden View Ct, Arden Hills, MN 55112-1944 2020-04-23
1881245504 Hailey Prescott Nurse Practitioner 2450 Riverside Avenue Se, Minneapolis, Mn, MN 55454-1400 2019-09-24
1598317570 Elisabeth Palmquist Nurse Practitioner 12000 Elm Creek Blvd N Ste 250, Maple Grove, MN 55369-7164 2019-07-10
1538644562 Angela Ashton Nurse Practitioner 345 Smith Ave N Ste 404, Saint Paul, MN 55102-2346 2018-09-25
1558865295 Meghan Kerry Deyo Nurse Practitioner 1804 7th St W Ste 200, Saint Paul, MN 55116-2300 2018-03-19
1336642131 Caitlin Anna Lingbeck Nurse Practitioner 14001 Ridgedale Dr #100, Minnetonka, MN 55305-1781 2018-03-18
1740799246 Maya Bastian Nurse Practitioner 12220 Travois Rd, Eden Prairie, MN 55347-4241 2017-09-27
1821523028 Robin Marie Parker Nurse Practitioner 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 2017-04-25
1538691043 Jenifer Flegel Nurse Practitioner 963 Robert St S, West Saint Paul, MN 55118-1446 2017-04-03
1154796811 Megan Stark Nurse Practitioner 2805 Campus Dr Ste 235, Plymouth, MN 55441-2678 2015-12-07
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Competitor

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City MARSHALL
Zip Code 56258

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Dataset Information

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.

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