AMANDA MALONE (NPI# 1821580085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821580085 |
| Entity Type | Individual |
| Full Name | AMANDA MALONE |
| Other Name | AMANDA REILING |
| Practice Address |
735 3rd St Sw Perham MN 56573-1152 |
| Mailing Address |
1105 W Russell St Sioux Falls SD 57104-1322 |
| Practice Telephone | 2182149950 |
| Mailing Telephone | 6052712690 |
| Mailing Fax Number | 6052713956 |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528416138 | Amanda C Malone | Physical Therapist | 842 Ne Alices Rd, Waukee, IA 50263-8857 | 2016-05-25 |
| 1881098226 | Amanda Sue Malone | Counselor | 850 23rd Ave, Suite A, Longmont, CO 80501-1114 | 2014-10-14 |
| 1033537428 | Amanda Malone | Nurse Practitioner | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2014-04-02 |
| 1871512269 | Amanda K. Malone | Family Medicine | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2006-07-18 |
| Street Address |
735 3RD ST SW |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568476323 | Perham Hospital District | Skilled Nursing Facility | 735 3rd St Sw, Perham, MN 56573-1152 | 2006-07-28 |
| 1447863758 | Morgan Hanson | Day Training/Habilitation Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-26 |
| 1538770508 | Kayla Anderson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-13 |
| 1851901599 | Margaret Rennicke | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-08-07 |
| 1932724523 | Mikayla Borah | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-10 |
| 1942824081 | Abigail Sweere | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-06-04 |
| 1952923815 | Jennifer Yost | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1225650179 | Amanda Marie Teberg | Day Training/Habilitation Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1841812708 | Tiffany Washek | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-05-14 |
| 1225664766 | Kayla Ostlund | Behavior Technician | 735 3rd St Sw, Perham, MN 56573-1152 | 2020-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| 1194793562 | Richard W Masur | Emergency Medicine | 665 3rd St Sw, Perham, MN 56573-1108 | 2006-03-10 |
| Find all providers in zip 56573 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846369 | Cyprian O Marubi | Specialist | 2021 E Hennepin Ave Ste 402, Minneapolis, MN 55413-1867 | 2020-09-23 |
| 1992327415 | Julie Baker | Specialist | 907 W Central Entrance, Duluth, MN 55811-5469 | 2020-05-07 |
| 1710521257 | Karly Bauer | Specialist | 512 30th Ave E Ste 10, Alexandria, MN 56308-5096 | 2019-10-28 |
| 1447816632 | Advanced Brain and Body Clinic Pllc | Specialist | 126 N 3rd St Ste 402, Minneapolis, MN 55401-2838 | 2019-05-14 |
| 1184181349 | Beverly Teresa Brending | Specialist | 745 Grand Ave Ste 101, Saint Paul, MN 55105-3384 | 2019-02-25 |
| 1982190294 | Lori Hunt | Specialist | 6425 Flying Cloud Dr, Eden Prairie, MN 55344-4555 | 2018-07-10 |
| 1346769692 | Darci Stanford | Specialist | 130 E Vine St, Owatonna, MN 55060-2428 | 2017-09-18 |
| 1407397250 | Malcolm Watt | Specialist | 7 Cannon St W, Dundas, MN 55019-4039 | 2017-03-13 |
| 1821532284 | Diana Mason | Specialist | 8170 Hillcrest Dr Ne, Bemidji, MN 56601-8993 | 2016-12-05 |
| 1649726910 | Rebecca Hoffman Pllc | Specialist | 3400 1st Street N, Suite 300, St. Cloud, MN 56301 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AMANDA MALONE.
| 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.