DR. AMANDA LYN BRENNEMAN (NPI# 1639658800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639658800 |
| Entity Type | Individual |
| Full Name | DR. AMANDA LYN BRENNEMAN |
| Credential | ARNP, FNP-BC |
| Practice Address |
12007 190th St Monticello IA 52310-8060 |
| Practice Telephone | 3194655916 |
| Practice Fax Number | 3194655919 |
| Mailing Telephone | 3194655916 |
| Mailing Fax Number | 3194655919 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A115617 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12007 190TH ST |
| City | MONTICELLO |
| State | IA |
| Zip Code | 52310-8060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306040951 | Camp Courageous of Iowa | Respite Care | 12007 190th St, Monticello, IA 52310-8060 | 2007-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205058476 | Elizabeth Hannah Johnson | Counselor | 818 West First Street, Monticello, IA 52310 | 2007-05-03 |
| 1013044643 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-02-28 |
| 1063559524 | Edinburgh Manor of Community Care, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 13241 County Home Road E23, Scotch Grove, IA 52310 | 2007-01-31 |
| 1295888014 | Prescription Shoppe Inc | Pharmacy | 304 E 1st St, Monticello, IA 52310 | 2007-01-18 |
| 1760474290 | Peter James Kennedy | Chiropractor | 325 E 1st St, Monticello, IA 52310 | 2005-08-19 |
| 1083746978 | Community Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 13241 County Home Road, E23, Scotch Grove, IA 52310 | 2007-03-09 |
| 1518014034 | Kevin J Stingley | Dentist | 139 S Main, Suite A, Monticello, IA 52310-0167 | 2007-01-05 |
| 1760539480 | Monticello Community School District | Local Education Agency (LEA) | 711 N Maple St, Monticello, IA 52310-1038 | 2007-01-04 |
| 1013266188 | Back Home Chiropractic, LLC | Chiropractor | 818 W 1st St Ste 101, Monticello, IA 52310-1307 | 2012-09-05 |
| 1649279100 | Above & Beyond Home Health Care Inc | Hospice Care, Community Based | 818 W 1st St, Suite 301, Monticello, IA 52310-1307 | 2005-07-18 |
| Find all providers in zip 52310 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968406 | Sojnia Irene Johnson | Nurse Practitioner | 561 Country Oaks Ln, Monticello, KY 42633-5145 | 2020-09-24 |
| 1023622081 | Marty Kyle Ballard Sr. | Nurse Practitioner | 698 Lower Brookhaven Rd, Monticello, MS 39654-9627 | 2020-09-06 |
| 1659918936 | Shelby Mcmickle | Nurse Practitioner | 170 Brixie Rd, Monticello, AR 71655-9096 | 2019-12-05 |
| 1104462712 | Ashley Leanna Huitt | Nurse Practitioner | Drew Memorial Health System, 778 Scogin Drive, Monticello, AR 71655 | 2019-11-19 |
| 1053964965 | Faith Healthcare Inc | Nurse Practitioner | 126 Franklin Drive, Monticello, KY 42633 | 2019-07-19 |
| 1740757145 | Karla Marie Wallace | Nurse Practitioner | 314 Main St Ste B, Monticello, MS 39654-3702 | 2018-10-24 |
| 1770039752 | Jesse Bone | Nurse Practitioner | 766 Hl Ross Drive, Monticello, AR 71655 | 2016-08-30 |
| 1295196137 | Miranda Tompkins | Nurse Practitioner | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2016-03-18 |
| 1285065292 | Teresa Conerly | Nurse Practitioner | 430 W Broad St, Monticello, MS 39654-7723 | 2013-12-02 |
| 1487089546 | Doretha Bournes | Nurse Practitioner | 354 Cub Brown Rd, Monticello, MS 39654-7505 | 2013-09-09 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 52310 |
Please comment or provide details below to improve the information on DR. AMANDA LYN BRENNEMAN.
| 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.