AMANDA J PRATT (NPI# 1922353275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922353275 |
| Entity Type | Individual |
| Full Name | AMANDA J PRATT |
| Credential | PA-C |
| Practice Address |
1702 University Dr S Fargo ND 58103-4940 |
| Mailing Address |
Po Box 6001 Fargo ND 58108-6001 |
| Practice Telephone | 7013643300 |
| Practice Fax Number | 7013648906 |
| Mailing Telephone | 7013643300 |
| Mailing Fax Number | 7013648906 |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2016-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PAC0487 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 71077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114457090 | Amanda Marie Pratt | Dietitian, Registered | 1075 Van Voorhis Rd Ste 150, Morgantown, WV 26505-3588 | 2017-06-14 |
| 1629388962 | Amanda Rene Pratt | Physical Therapist | 6639 Southpoint Pkwy, Ste. 103, Jacksonville, FL 32216-8041 | 2010-10-20 |
| 1558876029 | Amanda Pratt | Registered Nurse | 802 Kenyon Rd, Fort Dodge, IA 50501-5740 | 2017-12-06 |
| 1548782725 | Amanda Pratt | Social Worker | 5800 49th St N Ste 102, Saint Petersburg, FL 33709-2141 | 2017-07-10 |
| 1740730472 | Amanda Pratt | Behavioral Analyst | 1651 Old Meadow Rd, Suite 600, Mc Lean, VA 22102-4311 | 2016-10-05 |
| 1851706998 | Amanda Pratt | Pharmacist | 701 W Broadway Ave, Minneapolis, MN 55411-2611 | 2014-06-27 |
| 1326486150 | Amanda Lee Pratt | Allergy & Immunology | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2013-06-14 |
| 1144552555 | Amanda Joy Pratt | Chiropractor | 725 S Adams Rd, Suite 198, Birmingham, MI 48009-6902 | 2010-02-10 |
| 1063573095 | Amanda Pratt | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
| Street Address |
1702 UNIVERSITY DR S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-4940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245223023 | Kimberly Rae Kelly | Dermatology | 1702 University Dr S, Fargo, ND 58103-4940 | 2005-08-26 |
| 1467060046 | Jessica Marie Munro | Optometrist | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-07-20 |
| 1972132249 | Kalee Irene Wysuph | Student in an Organized Health Care Education/Training Program | 1702 University Dr S, Fargo, ND 58103-4940 | 2020-04-07 |
| 1699314617 | April M Sweet | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-12-23 |
| 1427603588 | Annelise Sterneman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-08-06 |
| 1518511799 | Morgan A Schmitz | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-26 |
| 1093367799 | Josalyn J Grueneich | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-07-12 |
| 1295395176 | Amanda J Coronato | Occupational Therapist | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-06-13 |
| 1962976068 | Moriah M Anderson | Dietitian, Registered | 1702 University Dr S, Fargo, ND 58103-4940 | 2019-01-11 |
| 1811489743 | Karli Lenae Roman | Nurse Practitioner | 1702 University Dr S, Fargo, ND 58103-4940 | 2018-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033665310 | Caitlyn R Cameron | Physician Assistant | 4110 51st Ave South, Fargo, ND 58104 | 2016-08-28 |
| 1295069664 | Megan Jean Boose | Physician Assistant | 3173 43rd St S Ste A, Fargo, ND 58104-4564 | 2009-10-01 |
| 1487715405 | Nancy M Eastman | Physician Assistant | 4622 40th Ave S, Fargo, ND 58104-4394 | 2006-12-13 |
| 1700826369 | Jeanne Waalen | Physician Assistant | 4200 Woodhaven St Sw, Fargo, ND 58104-3946 | 2006-06-08 |
| 1982642773 | Linda K Regan | Physician Assistant | 1800 21st Avenue South, Fargo, ND 58103 | 2006-06-03 |
| 1437153905 | Jay R Metzger | Physician Assistant | 306 4th St N, Fargo, ND 58102-4820 | 2005-06-13 |
| 1538786728 | Peter V Tronset | Physician Assistant | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-07-03 |
| 1750908455 | Jordan Ann Wiedmann | Physician Assistant | 3201 33rd St S, Fargo, ND 58104-8823 | 2020-06-29 |
| 1144842089 | Matthew Hockert | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-05-14 |
| 1770110777 | Steffani Nicole Johnston Mack | Physician Assistant | 700 1st Ave S, Fargo, ND 58103-1802 | 2020-03-27 |
| Find all providers in FARGO | ||||
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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.