AMANDA RYAN (NPI# 1962831511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962831511 |
| Entity Type | Individual |
| Full Name | AMANDA RYAN |
| Credential | APN |
| Practice Address |
3315 N Seminary St Galesburg IL 61401-1251 |
| Practice Telephone | 3093441000 |
| Practice Fax Number | 3093442405 |
| Mailing Telephone | 3093441000 |
| Mailing Fax Number | 3093442405 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209.010862 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929412 | Amanda Kay Ryan | Specialist/Technologist | 1612 Gingercreek Ct, Sycamore, IL 60178-2722 | 2019-02-27 |
| 1740581594 | Amanda Naomi Ryan | Nurse Anesthetist, Certified Registered | 8990 Springbrook Dr. Nw, Suite 250, Coon Rapids, MN 55433-5884 | 2010-11-10 |
| 1225347073 | Amanda Ryan | Occupational Therapist | 1035 Beach Rd, Apt F2, Cheektowaga, NY 14225-1278 | 2010-09-28 |
| 1528224888 | Amanda Ryan | Counselor | 573 Highland Dr Apt 6, San Luis Obispo, CA 93405-1129 | 2008-08-05 |
| 1972010072 | Amanda Ryan | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-01-10 |
| 1730600206 | Amanda Marie Ryan | Physical Therapist | 8853 Wagner Ct, Highlands Ranch, CO 80126-5244 | 2017-07-05 |
| 1407399900 | Amanda Ryan | Speech-Language Pathologist | 330 Rugby Rd, Brooklyn, NY 11226-4552 | 2016-12-01 |
| 1982156329 | Amanda Ryan | Registered Nurse | 151 Jerome St, Medford, MA 02155-3534 | 2016-11-02 |
| 1366897696 | Amanda Ryan | Registered Nurse | 3990 John R St, Detroit, MI 48201-2018 | 2016-04-23 |
| 1114300332 | Amanda Ryan | Clinic/Center | 2851 University Ave, Green Bay, WI 54311-5855 | 2015-07-07 |
| Street Address |
3315 N SEMINARY ST |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487696126 | Noor A Khaiser | Internal Medicine | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2006-06-10 |
| 1669022752 | Angela M Bickett | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-19 |
| 1902455140 | Bailey Jean Bucher | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-10 |
| 1417509407 | Tara Lynn Livingston | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-07-10 |
| 1164984225 | Julie Anne Maner-stevenson | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-05 |
| 1629573878 | Brittany S Simmons | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-29 |
| 1508360066 | Angela B Klapp | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-20 |
| 1922436682 | Jackie Spence | Physician Assistant | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2013-10-16 |
| 1003164617 | Melissa Hajostek | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2012-08-29 |
| 1235426487 | Sasikanth Gorantla | Psychiatry & Neurology | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2011-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467098202 | Nicole Marie Conway | Nurse Practitioner | 9880 E Michigan Ave # 100, Galesburg, MI 49053-8641 | 2019-11-26 |
| 1821644683 | Kasey Lynn Kramer | Nurse Practitioner | 326 Westport Rd, Galesburg, IL 61401-9522 | 2019-08-16 |
| 1952888299 | Dina Beth Witter | Nurse Practitioner | 311 E Main St Ste 409, Galesburg, IL 61401-4867 | 2018-07-19 |
| 1669022752 | Angela M Bickett | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-19 |
| 1902455140 | Bailey Jean Bucher | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-09-10 |
| 1417509407 | Tara Lynn Livingston | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2019-07-10 |
| 1770147738 | Emily L Dechow | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2019-04-25 |
| 1508360066 | Angela B Klapp | Nurse Practitioner | 3315 N Seminary St, Galesburg, IL 61401-1251 | 2018-03-20 |
| 1386142503 | Alivia Renea Derham | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2018-01-23 |
| 1780193110 | Rachel E Lewandowski | Nurse Practitioner | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2017-09-28 |
| Find all providers in GALESBURG | ||||
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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.