AMANDA ENNO (NPI# 1740714989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740714989 |
| Entity Type | Individual |
| Full Name | AMANDA ENNO |
| Other Name | AMANDA ROLLE |
| Credential | APN |
| Practice Address |
152 N Addison Ave Elmhurst IL 60126-2821 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-2032 |
| Practice Telephone | 6308323100 |
| Practice Fax Number | 6308321604 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.015883 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
152 N ADDISON AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643658 | Kevin J Kovach | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2005-07-19 |
| 1467711689 | Fatima Hadi Ali | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2012-05-08 |
| 1417249145 | 7 Hills Healthcare Center P.C. | Family Medicine | 152 N Addison Ave, Suite 202, Elmhurst, IL 60126-2821 | 2011-05-13 |
| 1265609200 | Milap Mehta | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126-2821 | 2008-05-09 |
| 1790983914 | Elmhurst Eye Surgery Center | Clinic/Center | 152 N Addison Ave, Elmhurst, IL 60126-2821 | 2007-07-10 |
| 1063630895 | Erica C Attanasio | Pediatrics | 152 N Addison Ave, Ste 200, Elmhurst, IL 60126-2810 | 2007-04-24 |
| 1831249200 | Mateen K Aliniazee | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2007-01-10 |
| 1619051828 | Kimberly Weyneth | Dentist | 152 N Addison Ave, Suite 201, Elmhurst, IL 60126-2810 | 2006-10-24 |
| 1881613297 | Saad Ahmad | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2006-07-18 |
| 1669498267 | Kovach Eye Institute, Ltd | Ophthalmology | 152 N Addison Ave, Elmhurst, IL 60126 | 2006-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639705908 | Simrat Singh | Nurse Practitioner | 547 N Howard Ave, Elmhurst, IL 60126-2024 | 2020-03-19 |
| 1740779206 | Elisa Jean Mary | Nurse Practitioner | 87-08 Justice Ave Suite Cs, Elmhurst, NY 11373 | 2018-05-09 |
| 1205360385 | Emily Clapsaddle | Nurse Practitioner | 420 E. Butterfield Rd, Elmhurst, IL 60126-2816 | 2017-04-17 |
| 1003299165 | Juliet Ibanez Panambo | Nurse Practitioner | Po Box 745, Elmhurst, IL 60126-0745 | 2015-07-07 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| 1447567268 | Renata Krystyna Ciszek | Nurse Practitioner | 429 N York Road, Elmhurst, IL 60126 | 2010-09-01 |
| 1639251317 | Emelita D Sequeira | Nurse Practitioner | 977 N Oaklawn Ave, Suite 104, Elmhurst, IL 60126-1045 | 2006-10-20 |
| 1124073713 | Lisa Stucky-marshall | Nurse Practitioner | 177 E Brush Hill Rd, Elmhurst, IL 60126 | 2006-05-23 |
| 1457987158 | Deon Lee | Nurse Practitioner | 7901 Broadway, Elmhurst, NY 11373-1329 | 2020-03-13 |
| 1659928398 | Janieta Brown | Nurse Practitioner | 429 N York St, Elmhurst, IL 60126-2003 | 2019-08-19 |
| Find all providers in ELMHURST | ||||
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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.