AMANDA WIDMAN (NPI# 1710361225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710361225 |
| Entity Type | Individual |
| Full Name | AMANDA WIDMAN |
| Credential | ATC |
| Practice Address |
6700 Ne 162nd Ave Ste 411 Vancouver WA 98682-3863 |
| Mailing Address |
Po Box 236 Baker City OR 97814-0236 |
| Practice Telephone | 5097038880 |
| Mailing Telephone | 5097038880 |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2000021970 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063881209 | Amanda Widman | Speech-Language Pathologist | 269 Portland Way S, Galion, OH 44833-2312 | 2015-09-17 |
| Street Address |
6700 NE 162ND AVE STE 411 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98682-3863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438633 | Rachel Ford | Physical Therapist | 6700 Ne 162nd Ave Ste 411, Vancouver, WA 98682-3863 | 2020-02-11 |
| 1992288187 | Tessa Kush | Physical Therapist | 6700 Ne 162nd Ave Ste 411, Vancouver, WA 98682-3863 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230625 | Helen Trinidad Uy | Registered Nurse | 15814 Ne 72nd St., Vancouver, WA 98682 | 2020-09-21 |
| 1891258711 | Washington Dental Corporation, PC | Dentist | 14411 Ne Fourth Plain, Suite 134, Vancouver, WA 98682 | 2019-04-08 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1285095000 | Julia Melinda Zamora | Naturopath | 15640 Ne Fourth Plain Blvd Ste 120a, Vancouver, WA 98682 | 2016-03-08 |
| 1871999243 | Jumana Sayyam | Counselor | 13114 Ne 41st St, Vancouver, WA 98682 | 2014-11-13 |
| 1679998538 | Chris Briggs | Massage Therapist | 6700 N.e. 162 Ave, Suite 415, Vancouver, WA 98682 | 2014-02-28 |
| 1790113371 | Kaiser Foundation Health Plan of The Northwest | Pharmacy | 1230 7th Ave., Longview, WA 98682 | 2013-10-17 |
| 1821336736 | Carol Lynn Fischer | Occupational Therapist | 13501 Ne 28th Street, Vancouver, WA 98682 | 2013-01-28 |
| 1336412485 | Erica Paige Schmidt | Massage Therapist | 13025 Ne 4th Plain Blvd, Suite 102, Vancouver, WA 98682 | 2012-02-21 |
| 1669767828 | Scott Germann | Contractor | 15410 Ne 85th Street, Vancouver, WA 98682 | 2011-06-16 |
| Find all providers in zip 98682 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957054 | Alex Vincent Pham | Specialist/Technologist | 3523 Se 176th Ave, Vancouver, WA 98683-3591 | 2020-09-17 |
| 1174086706 | Cameron Scot Townsen | Specialist/Technologist | 18510 Ne 30th St, Vancouver, WA 98682-3609 | 2019-04-10 |
| 1275030728 | Courtney Lynn Ryan | Specialist/Technologist | 14004 Nw 27th Ave, Vancouver, WA 98685-1871 | 2018-04-11 |
| 1902330665 | Jessica L. Padget | Specialist/Technologist | 10108 Ne 86th St, Vancouver, WA 98662-2114 | 2017-04-19 |
| 1659805315 | Vanessa Punches | Specialist/Technologist | 12810 Ne 43rd Cir, Vancouver, WA 98682-6492 | 2017-04-19 |
| 1609223478 | Anna Pengra | Specialist/Technologist | 10402 Ne 88th St, Vancouver, WA 98662-2178 | 2016-05-20 |
| 1710113501 | Neetu Rishiraj | Specialist/Technologist | Actin Health and Rehabilitation Inc., 5767 Oak Street, Vancouver, BRITISH COLUMBIA V6M2V7 | 2009-06-07 |
| 1669599320 | Chapman Leo Gee | Specialist/Technologist | 11604 Nw 30th Ct, Vancouver, WA 98685-3480 | 2007-03-26 |
| 1093832271 | Michael Scott Lefore | Specialist/Technologist | 7825 Ne 130th Ave, Vancouver, WA 98682-3316 | 2007-03-23 |
| 1740307727 | Julie A Mattox | Specialist/Technologist | 12901 Ne 28th St Apt 125, Vancouver, WA 98682-1228 | 2007-03-23 |
| Find all providers in VANCOUVER | ||||
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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.