AMANDA K KRUTKE (NPI# 1861702532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861702532 |
Entity Type | Individual |
Full Name | AMANDA K KRUTKE |
Credential | ACNS-BC |
Practice Address |
107 Omni Dr Suite A Seneca SC 29672-9448 |
Mailing Address |
540 W North St Ste 206207 Manhattan IL 60442-8201 |
Practice Telephone | 8648857886 |
Mailing Telephone | 8154787866 |
Enumeration Date | 2010-10-15 |
Last Update Date | 2018-08-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
18259 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
107 OMNI DR SUITE A |
City | SENECA |
State | SC |
Zip Code | 29672-9448 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497731368 | Palmetto Surgery Associates, Pa | Surgery | 107 Omni Dr, Suite B, Seneca, SC 29672-9448 | 2005-12-21 |
1245596519 | Keowee Family Urology | Durable Medical Equipment & Medical Supplies | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2012-04-11 |
1972532380 | Steven Keith Lawton | Urology | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-06-30 |
1841247517 | Robert Kapusta | Nurse Practitioner | 107 Omni Dr, Suite A, Seneca, SC 29672-9448 | 2006-05-28 |
1588636138 | Kevin O Brien | Internal Medicine | 107 Omni Dr, Ste B, Seneca, SC 29672-9448 | 2006-02-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790308955 | Pooja Kamboj | Student in an Organized Health Care Education/Training Program | 139 Lila Doyle Dr., Seneca, SC 29672 | 2020-05-22 |
1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
1982067971 | Marthe Melanie Bryant Connah | Family Medicine | 139 Lila Doyle Drive, Family Medicine Residency - Oconee, Seneca, SC 29672 | 2016-03-29 |
1558733220 | Alyssa K. Locke | Occupational Therapist | 101 S-37-349, Seneca, SC 29672 | 2015-10-21 |
1497857742 | Pulmonary Critical Care & Sleep Associates Pa | Clinic/Center | 107 Omni Drive, Suite A, Seneca, SC 29672 | 2006-09-05 |
1659381440 | Timothy Aaron Zeller | Family Medicine | 139 Lila Doyle Dr, Seneca, SC 29672 | 2006-08-08 |
1871546978 | Samuel Thomas Drake | Specialist | 103 Omni Dr Ste A, Seneca, SC 29672 | 2006-05-18 |
1235123878 | Nancy Matz Thiel | Chiropractor | 355 Katelynn Lane, Seneca, SC 29672 | 2005-09-09 |
1265439954 | David E Heape | Emergency Medicine | 298 Memoral Drive, Oconee Memorial Hospital, Seneca, SC 29672 | 2005-07-07 |
1407345846 | Prisma Health-upstate | Clinic/Center | 139 Lila Doyle Drive, Seneca, SC 29672 | 2018-05-01 |
Find all providers in zip 29672 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942579347 | Angela Hebert Hayden Np | Clinical Nurse Specialist | 400-4 College Ave, Suite 3, Clemson, SC 29631-2925 | 2011-12-14 |
1710291455 | Linda Ramsey Bright | Clinical Nurse Specialist | 103 Bee Street, Charleston, SC 29403 | 2010-08-05 |
1568604338 | Shannon Bright Smith | Clinical Nurse Specialist | 400 Magnolia St # 135a, Orangeburg, SC 29115-6815 | 2009-03-25 |
1790967131 | Pamela Bearden | Clinical Nurse Specialist | 160 Rutledge Ave, Charleston, SC 29403-5821 | 2007-11-28 |
1295169241 | Tolvalyn Shinia Dennison | Clinical Nurse Specialist | 8 Richland Medical Park Dr, Suite 300, Columbia, SC 29203-8005 | 2013-08-27 |
1699112425 | Kelly Marie Pabst | Clinical Nurse Specialist | 2085 Henry Tecklenburg Dr, Suite 320, Charleston, SC 29414-7710 | 2013-06-03 |
1922362052 | Melissa Renee Bouassaba | Clinical Nurse Specialist | 200 Patewood Dr Ste B350, Greenville, SC 29615-6337 | 2012-07-03 |
1164668224 | Christine M Moffett | Clinical Nurse Specialist | 109 Bee St, Charleston, SC 29401-5703 | 2008-12-19 |
1831213545 | Donna D Burroughs | Clinical Nurse Specialist | 100 Healthy Way, Suite 1210, Anderson, SC 29621-7915 | 2007-03-19 |
Please comment or provide details below to improve the information on AMANDA K KRUTKE.
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.