AMANDA VAN STRATEN (NPI# 1699900274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699900274 |
| Entity Type | Individual |
| Full Name | AMANDA VAN STRATEN |
| Other Name | AMANDA JORDAN |
| Credential | MD |
| Practice Address |
1315 Hospital Dr St Johnsbury VT 05819-9210 |
| Practice Telephone | 8027487382 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
042-0012906 | VT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1023321 | 05 | |
| NH | 3097034 | 05 |
| Street Address |
1315 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396793212 | Parker A Towle | Psychiatry & Neurology | 1315 Hospital Dr, Nvrh Neurology Clinic, St Johnsbury, VT 05819-9210 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952796559 | John Steele Taylor Jr. | Psychiatry & Neurology | University of Vermont College of Medicine, 89 Beaumont Drive, Given D401, Burlington, VT 05405-0001 | 2015-03-31 |
| 1023312246 | Roberta K Bennett Md | Psychiatry & Neurology | 160 Benmont Ave Ste 20, Bennington, VT 05201-1842 | 2011-01-03 |
| 1407091366 | Andrew Jay Solomon | Psychiatry & Neurology | 1 South Prospect St., Neurology, Burlington, VT 05403 | 2008-12-08 |
| 1982742953 | Peter Joseph Szostak | Psychiatry & Neurology | 28 East St, Rutland, VT 05701-4127 | 2007-02-02 |
| 1215955430 | Peter Matthias Bingham | Psychiatry & Neurology | 110 Colchester Ave, East Pavilon, Level 4, Burlington, VT 05401-1473 | 2006-07-17 |
| 1124069588 | Dorothea L. De Gutis | Psychiatry & Neurology | 51 Fairview St, Brattleboro, VT 05301-6629 | 2006-06-09 |
| 1174581516 | Gregory L. Holmes | Psychiatry & Neurology | 111 Colcher Ster Avenue, Patrick 5-cnl, Burlington, VT 05401 | 2006-05-03 |
| 1457317380 | Richard P. Lango | Psychiatry & Neurology | 73 Center St, Rutland, VT 05701-4046 | 2006-04-20 |
| 1225018906 | Katherine Ann Wayman | Psychiatry & Neurology | 89 S Williams St, Burlington, VT 05401-3405 | 2006-01-19 |
| 1831171438 | Rizwan Ul Haq | Psychiatry & Neurology | 189 Prouty Dr, Medical Arts Building 2nd Floor, Newport, VT 05855-9326 | 2005-11-18 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
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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.