Amanda Lyn Bishop, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4000 London Rd
Duluth, MN 55804-2220

Phone

(218) 428-5050

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda Lyn Bishop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498089600000",
    "number": "1487174348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 N 56TH AVE W",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558071328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042220",
            "telephone_number": "218-428-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "AMANDA",
        "middle_name": "LYN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BISHOP",
            "middle_name": "LYN",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Marie Bird, RN, CNS
• Laura Charlene Birnbaum, LICSW
• Nathan Ambrose Birno, PA-C
• Birthing Ways- Doula Connection
• Birthing Ways-Doula Connection
• Kalkidan Genete Bishu, M.D.
• Sonja M Bjerk, MD
• Hannah Bjerkness, PA-C
• Pamela Kay Bjorklund, PHD, RN, CS, CNP
• Carolyn M. Bjur, PT

• Occupational Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.