Active NPI
Amanda Jo Hintz, MS, LP
- Psychologist
- Baxter, MN
National Provider Identifier
1104872423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3270
- Practice address
- 7115 Forthun Rd
Suite 105
Baxter, MN 56425-8597 - Phone
- (218) 454-0090
- Fax
- (218) 454-0091
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3270 | MN | Primary |
Addresses
Primary practice location
7115 Forthun Rd
Suite 105
Baxter, MN 56425-8597
Mailing address
7115 Forthun Rd
Suite 105
Baxter, MN 56425-8597
Phone (218) 454-0090
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375255000 | Other | MN | MNHC |
| 924D4HI | Other | MN | BCBS |
| 99099-1027732 | Other | MN | PREFERRED ONE |
| 1104872423 | Other | MN | MEDICA |
| HP33725 | Other | MN | HEALTH PARTNERS |
| 61-58515 | Other | MN | UBH |
| 112404 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP3270 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1104872423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7115 FORTHUN RD",
"address_2": "SUITE 105",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258597",
"telephone_number": "218-454-0090",
"fax_number": "218-454-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7115 FORTHUN RD",
"address_2": "SUITE 105",
"city": "BAXTER",
"state": "MN",
"postal_code": "564258597",
"telephone_number": "218-454-0090",
"fax_number": "218-454-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTZ",
"first_name": "AMANDA",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "MS, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MNHC",
"identifier": "375255000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "924D4HI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "99099-1027732",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "1104872423",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP33725",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "61-58515",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "112404",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.