AMANDA DAHLGREN (NPI# 1720693138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720693138 |
| Entity Type | Individual |
| Full Name | AMANDA DAHLGREN |
| Practice Address |
105 Corporate Dr Portsmouth NH 03801-6825 |
| Mailing Address |
912 Lebanon Rd Acton ME 04001-4619 |
| Practice Telephone | 6035015500 |
| Mailing Telephone | 2074320939 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINE STATE BOARD OF NURSING | RN72395 | 01 |
| Street Address |
105 CORPORATE DR |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265689095 | Stanley C Allen | Physical Medicine & Rehabilitation | 105 Corporate Dr, Pease International Tradeport, Portsmouth, NH 03801-6825 | 2008-08-22 |
| 1629693866 | Melissa Leigh Ouellette | Physical Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2020-06-13 |
| 1336764695 | Shannon Mikell | Occupational Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2020-06-12 |
| 1740828730 | Raschel Abbott | Physical Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2019-12-20 |
| 1508421983 | Rebecca Frances Bassi | Occupational Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2019-05-01 |
| 1710468731 | Cherilyn Mcilroy | Occupational Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2018-08-27 |
| 1124530746 | Mary Neumann | Physical Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2017-11-05 |
| 1043721178 | Meredith Cullity | Occupational Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2017-10-16 |
| 1790296051 | Lauren Ann Armfield | Speech-Language Pathologist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2017-10-13 |
| 1447774690 | Margaret Mcmurdy | Occupational Therapist | 105 Corporate Dr, Portsmouth, NH 03801-6825 | 2017-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1760003156 | Kylie Miller | Student in an Organized Health Care Education/Training Program | 600 John Paul Jones Circle, Portsmouth, VA 23708 | 2020-04-27 |
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1376176461 | Joshua L Cartwright | Student in an Organized Health Care Education/Training Program | 303 Deal Dr, Portsmouth, VA 23701-1307 | 2020-02-17 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1235796459 | Cloria Robertson | Student in an Organized Health Care Education/Training Program | 3604 Tejo Ln Apt 2b, Portsmouth, VA 23703-3032 | 2019-05-22 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1760943195 | Jessica Albers | Student in an Organized Health Care Education/Training Program | 3 Paddle Ct, Portsmouth, VA 23703-5361 | 2019-03-28 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on AMANDA DAHLGREN.
| 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.