MS. AMANDA MARIA LANTOW (NPI# 1790390326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790390326 |
| Entity Type | Individual |
| Full Name | MS. AMANDA MARIA LANTOW |
| Credential | PMHNP |
| Practice Address |
1555 Hull Ave Des Moines IA 50316-1341 |
| Mailing Address |
8913 Highland Oaks Dr Johnston IA 50131-2225 |
| Practice Telephone | 8883656271 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
125412 | IA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G160765 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
125412 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1555 HULL AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-1341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730174657 | Trinity Center | Nursing Facility/Intermediate Care Facility | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2005-09-16 |
| 1215417894 | Brittney Culmore | Physical Therapist | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2018-08-14 |
| 1447675160 | Aaron Timm | Physical Therapist | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2014-03-04 |
| 1306900196 | Luther Park Health Center Inc | Nursing Facility/Intermediate Care Facility | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2006-12-19 |
| 1215001995 | Trinity Center At Luther Park | Alzheimer Center (Dementia Center) | 1555 Hull Ave, Des Moines, IA 50316-1341 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417403916 | Alpha Allied Mental Health Services | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2016-08-25 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1710389846 | Lakew Adnew | Nurse Practitioner | 22634 10th Ave S, Des Moines, WA 98198-6915 | 2014-09-19 |
| 1316356496 | Kimberly N Roberts | Nurse Practitioner | 700 E University Ave # 3w, Des Moines, IA 50316-2302 | 2014-08-04 |
| 1134231459 | Grace V Hatcher | Nurse Practitioner | 520 42nd St, Suite A, Des Moines, IA 50312-2757 | 2006-08-31 |
| 1275147910 | Amazon Psychiatry | Nurse Practitioner | 699 Walnut St Ste 400, Des Moines, IA 50309-3962 | 2020-09-01 |
| 1811500747 | Nadia Hashemi-toroghi | Nurse Practitioner | 1801 Hickman Rd, Des Moines, IA 50314-1548 | 2020-08-29 |
| 1780293688 | Kailey Ann Ingram | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-07-27 |
| 1801435326 | Erin Leigh Federspiel | Nurse Practitioner | 3600 30th St, Des Moines, IA 50310-5753 | 2020-01-01 |
| 1477199198 | Sajo Joseph Thomas | Nurse Practitioner | 945 19th St, Des Moines, IA 50314-1117 | 2019-11-18 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
Please comment or provide details below to improve the information on MS. AMANDA MARIA LANTOW.
| 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.