AMANDA PEARSON (NPI# 1699267864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699267864 |
| Entity Type | Individual |
| Full Name | AMANDA PEARSON |
| Other Name | AMANDA MCDANIEL |
| Practice Address |
124 W 25th St Ste B4 Kearney NE 68847-4473 |
| Practice Telephone | 3087082392 |
| Mailing Telephone | 3087082392 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | NE | Other Service Providers | |
| N | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1063750735 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568093706 | Amanda Kathleen Pearson | Licensed Psychiatric Technician | 1020 S Arroyo Pkwy, Pasadena, CA 91105-3911 | 2020-01-27 |
| 1003387309 | Amanda Marie Pearson | Nurse Practitioner | 516 Quintard Ave, Anniston, AL 36201-5711 | 2018-12-12 |
| 1740722677 | Amanda Pearson | Physical Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2016-11-09 |
| 1417251075 | Amanda Lee Pearson | Rehabilitation Practitioner | 5659 Duncan Dr, Las Vegas, NV 89130-2811 | 2010-12-22 |
| 1295035400 | Amanda Sue Pearson | Licensed Practical Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2010-10-22 |
| 1710210190 | Amanda E. Pearson | Physical Therapist | 100 Route 9d, Castle Point, NY 12511 | 2009-09-16 |
| 1730315367 | Amanda Davidson Pearson | Audiologist | 7600 Wolf River Blvd, Suite 220, Germantown, TN 38138-1785 | 2009-06-10 |
| 1922049071 | Amanda W Pearson | Obstetrics & Gynecology | 500 Rue De La Vie St, Suite 100, Baton Rouge, LA 70817-5126 | 2006-06-09 |
| Street Address |
124 W 25TH ST STE B4 |
| City | KEARNEY |
| State | NE |
| Zip Code | 68847-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417463621 | Heather Lynn Russell | Social Worker | 124 W 25th St Ste B4, Kearney, NE 68847-4473 | 2017-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506419 | Mckenzie Rae Behrendt | Occupational Therapist | 3219 Central Ave Ste 105, Kearney, NE 68847 | 2016-09-19 |
| 1912366816 | Rylee Anne Horsley | Nurse Practitioner | 5609 1st Avenue Suite B, Kearney, NE 68847 | 2016-02-19 |
| 1255626321 | Jody Lynn Angel-trejo | Counselor | 15 W 22nd St, Kearney, NE 68847 | 2011-06-16 |
| 1881985646 | Med-care, Inc | Specialist | 920 E 56th, Kearney, NE 68847 | 2011-04-28 |
| 1396979985 | Brad Henry Greisen | Registered Nurse | 115 East 52nd St, Kearney, NE 68847 | 2009-05-11 |
| 1528221520 | Andrea Christine Johnson | Physician Assistant | 10 East 31st Street, Kearney, NE 68847 | 2008-07-09 |
| 1528236189 | Morgan Medical LLC | Durable Medical Equipment & Medical Supplies | 3819 2nd Avenue, Kearney, NE 68847 | 2008-02-18 |
| 1134307358 | Linda Kay Shaw | Counselor | 904 E. 25th, Kearney, NE 68847 | 2008-02-11 |
| 1528245669 | David Emst Jenny | General Practice | 819 East 48th St, Kearney, NE 68847 | 2008-01-30 |
| 1386827855 | Nathaniel Alan Gaunt | Chiropractor | 218 W 42nd St, Kearney, NE 68847 | 2007-12-07 |
| Find all providers in zip 68847 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908453 | Krystal Mae Wright | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-09-28 |
| 1023631124 | Terrill Jacobsen | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1861015950 | April L Picard | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1972126076 | Jennifer Schutz | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1811510910 | Rebekah Wells | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2020-05-22 |
| 1922591486 | Brittni Waters | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1841783305 | Melissa Walker | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1659864114 | Starla Henderson | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-10 |
| 1316430853 | Angie Vieyra | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-09 |
| 1700378643 | Shannon Haussermann | Peer Specialist | 4111 4th Ave Ste 2, Kearney, NE 68845-2883 | 2018-06-06 |
| Find all providers in KEARNEY | ||||
Please comment or provide details below to improve the information on AMANDA PEARSON.
| 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.