AMANDA WALTERS (NPI# 1700334851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700334851 |
| Entity Type | Individual |
| Full Name | AMANDA WALTERS |
| Credential | PA-C |
| Practice Address |
2251 Connecticut Ave S Sartell MN 56377-2486 |
| Mailing Address |
Po Box 1309 Minneapolis MN 55440-1309 |
| Practice Telephone | 3202535220 |
| Mailing Telephone | 9528837172 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1136832 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114296803 | Amanda M Walters | Psychologist | 1101 S Winchester Blvd Ste P297, San Jose, CA 95128 | 2011-12-24 |
| 1760766117 | Amanda Gayle Walters | Pharmacist | 3410 Red Bay Creek Rd, Columbia, MO 65203-9097 | 2011-10-04 |
| 1568017614 | Amanda Walters | Behavior Technician | 537 Deltona Blvd, Deltona, FL 32725-8017 | 2019-08-06 |
| 1609331586 | Amanda L Walters | Occupational Therapist | 101 Theall Rd, Rye, NY 10580-1406 | 2019-02-05 |
| 1619444874 | Amanda Walters | Speech-Language Pathologist | 575 8th Ave Fl 6, New York, NY 10018-3158 | 2018-10-25 |
| 1619466737 | Amanda Walters | Pharmacist | 325 Maine St, Lawrence, KS 66044-1360 | 2018-05-03 |
| 1528511284 | Amanda Walters | Physical Therapist | 195 Federal Rd Ste 6, Brookfield, CT 06804-2556 | 2016-07-29 |
| 1760862015 | Amanda Walters | Obstetrics & Gynecology | 302 University Blvd, Round Rock, TX 78665-1032 | 2015-06-02 |
| 1952665937 | Amanda Walters | Massage Therapist | 10 W Main St, Clifton Springs, NY 14432-1031 | 2012-06-25 |
| 1174822191 | Amanda Mae Walters | Case Manager/Care Coordinator | 38 State Street, Tully, NY 13159-0123 | 2011-03-16 |
| Street Address |
2251 CONNECTICUT AVE S |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165881 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-4772 | 2005-06-22 |
| 1154920189 | Sartell Pediatrics, P.a. | Pediatrics | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2020-10-21 |
| 1164052718 | Callie Sahr | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2020-01-23 |
| 1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
| 1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
| 1386195659 | Chelsea Victoria Domeier | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-10-20 |
| 1861844482 | Brittany Joy Gordon | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-07-07 |
| 1447618095 | Kassie Scott | Dental Therapist | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2016-02-10 |
| 1033582259 | Lauren Milovitch-sera | Physical Therapist | 2251 Connecticut Ave S, Suite 3600, Sartell, MN 56377-2486 | 2015-11-10 |
| 1053798827 | Rachel Raab | Nurse Practitioner | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2015-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275605 | Dean Alan Stulz | Physician Assistant | 100 South 2nd Street, Sartell, MN 56377-1977 | 2006-09-16 |
| 1316976236 | Kristin K. Mellgren | Physician Assistant | 2251 Connecticut Ave S Ste 3800, Sartell, MN 56377-2574 | 2006-07-02 |
| 1851337299 | Rusty Burress | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2006-06-22 |
| 1477531267 | Kristin Noel Francois | Physician Assistant | 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 | 2006-01-03 |
| 1790311934 | Laura Lee Stang | Physician Assistant | 2351 Connecticut Ave S Ste 200, Sartell, MN 56377-2477 | 2020-03-19 |
| 1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
| 1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
| 1235623455 | Joseph Mathew Fortier | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2018-06-20 |
| 1346733144 | Hans Richard Backlund | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2018-06-07 |
| 1316456262 | Ashley Marie Patterson | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2017-09-22 |
| Find all providers in SARTELL | ||||
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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.