AMANDA SHARYCE WALTON (NPI# 1952941270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952941270 |
| Entity Type | Individual |
| Full Name | AMANDA SHARYCE WALTON |
| Credential | CBHPSS |
| Practice Address |
119 S Kendrick Ave Glendive MT 59330-1626 |
| Mailing Address |
223 Glenwood Ave Glendive MT 59330-2811 |
| Practice Telephone | 4063776075 |
| Mailing Telephone | 4065913551 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407104003 | Amanda L Walton | Counselor | 3686 Us Highway 331 South, Defuniak Springs, FL 32435-8463 | 2012-08-29 |
| 1407311996 | Amanda Huie Walton | Nurse Practitioner | 202 Governors Dr Se, Huntsville, AL 35801-2745 | 2019-02-08 |
| 1457883555 | Amanda Walton | Counselor | 1700 N Illinois St, Indianapolis, IN 46202-1316 | 2017-03-29 |
| 1033375019 | Amanda S Walton | Counselor | 106 Springview Ln, Summerville, SC 29485-8108 | 2008-07-30 |
| Street Address |
119 S KENDRICK AVE |
| City | GLENDIVE |
| State | MT |
| Zip Code | 59330-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750427795 | Jerry D Schlepp | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2007-01-29 |
| 1932763224 | Donald Bauman | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2019-04-23 |
| 1346767415 | Leanne Kathryn Hoagland | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2017-08-29 |
| 1265757538 | Allison Mae Neal | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2010-03-30 |
| 1093851107 | Virginia Berube | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2007-01-29 |
| 1144366246 | District II Alcohol and Drug Program | Counselor | 119 S Kendrick Ave, Glendive, MT 59330-1626 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312224 | Ashley Grammens | Pharmacist | 307 Harmon Street, Glendive, MT 59330 | 2018-04-05 |
| 1154651016 | Debra Linn | Speech-Language Pathologist | 14 Big Sky Drive, Glendive, MT 59330 | 2009-12-28 |
| 1790293116 | Jessica Marie Domire | Nurse Practitioner | 202 Prospect Dr, Glendive, MT 59330 | 2018-01-19 |
| 1770965972 | Nena Panasuk | Family Medicine | 107 Dilworth St, Glendive, MT 59330 | 2015-06-24 |
| 1891938882 | Monica M Melchior | Social Worker | 807 Clark Ave, Glendive, MT 59330-1400 | 2009-04-07 |
| 1275593410 | Ft Reynolds | Pharmacy | 1014 W Bell St, Glendive, MT 59330-1502 | 2006-03-23 |
| 1346296266 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 307 Harmon St, Glendive, MT 59330-1510 | 2006-05-25 |
| 1275870909 | Steve Knoop | Pharmacist | 307 Harmon St, Glendive, MT 59330-1510 | 2013-01-15 |
| 1972030708 | Calkins Dental Office, LLC | Clinic/Center | 116 N Meade Ave, Glendive, MT 59330-1604 | 2017-05-11 |
| 1598177115 | Matthew Don Calkins | Dentist | 116 N Meade Ave, Glendive, MT 59330-1604 | 2014-06-02 |
| Find all providers in zip 59330 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652001 | Johnny L Talawyma Jr. | Peer Specialist | 1230 N. 30th St. Suite 100, Billings, MT 59101 | 2020-06-08 |
| 1487144861 | Michael P Hemmy | Peer Specialist | 2611 Upper River Rd Trlr 14, Great Falls, MT 59405-7283 | 2018-05-11 |
| 1881158277 | Chelsea M Walton | Peer Specialist | 1231 N 29th St, Billings, MT 59101-0122 | 2019-01-30 |
Please comment or provide details below to improve the information on AMANDA SHARYCE WALTON.
| 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.