Individual provider Active NPI

Amanda L Talamantes, APN RN

  • Family Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1194238980
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007757A Issued in IN
Practice address
1606 N 7TH St
Terre Haute, IN 47804-2706
Phone
(812) 238-7000
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007757A IN Primary

Addresses

Primary practice location

1606 N 7TH St
Terre Haute, IN 47804-2706

Mailing address

1606 N 7TH St
Terre Haute, IN 47804-2706

Other practice location 1

601 W Washington St Ste 1
Newton, IL 62448
Phone (618) 783-0954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191106001179 IL Practitioner - Nurse Practitioner 6406109230 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Indiana University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crawford Hospital DistrictGroup PAC ID 7719898071, shared by 8 NPIs, 71 clinicians

Practice addresses (Care Compare)

1000 N Allen St
Robinson, IL 62454-1167
Phone (618) 544-3131

Hospital & facility affiliations

  • Crawford Memorial Hospital Hospital, Robinson, IL, CCN 141343
  • Crawford Memorial Hospital Nursing home, CCN 14Z343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71007757AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District CurrentSince Nov 10, 2021 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 14, 2026 Accepting new patients
Theoria Medical CurrentSince Sep 11, 2025 Accepting new patients
Crawford Hospital District CurrentSince Nov 10, 2021 Accepting new patients
Crawford Hospital District Current Accepting new patients

Locations

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

6301 Lincoln Hwy
Matteson, IL 60443
Phone (708) 401-4400

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1194238980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042706",
            "telephone_number": "812-238-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Washington St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IL",
            "postal_code": "62448",
            "country_code": "US",
            "telephone_number": "618-783-0954",
            "fax_number": "618-783-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALAMANTES",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "APN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007757A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.