Amanda M McCann, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

195528-0 Issued in MN

Practice address

1484 W Lincoln Ave
Fergus Falls, MN 56537-1032

Phone

(218) 736-5565

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)
• Thrifty Drug Stores Inc

  • Community/Retail Pharmacy
  • Fergus Falls, MN
  • NPI 1972692572
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1073198685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 12TH ST N",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580753525",
            "telephone_number": "701-640-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1484 W LINCOLN AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371032",
            "telephone_number": "218-736-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MN",
            "license": "195528-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Annette Martinson, LPN
• George W. Mathison, M.D.
• James A Matter, MD
• Tina Ann Mausolf
• Philip George Mayer, DDS
• Ashley Mae McCauley, FNP
• Alexis McGary
• Todd James McGovern, D.D.S.
• Sheri McKeever
• Susan J Meland II, MD

• General Practice Registered Nurse in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• General Practice Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.