Individual provider Active NPI

Amanda Dawn Thoennes, RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Danville, IL
National Provider Identifier
1629275953
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
41357975 Issued in IL
Practice address
210 Avenue C
Danville, IL 61832-5410
Phone
(217) 442-3200
Fax
(217) 442-7460
NPI assigned
Jun 29, 2007
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 41357975 IL Primary

Addresses

Primary practice location

210 Avenue C
Danville, IL 61832-5410

Mailing address

210 Avenue C
Danville, IL 61832-5410
Phone (217) 442-3200

Other practice location 1

502 N Market St
Champaign, IL 61820-3634
Phone (217) 373-2428

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
I20221003001714 IL Practitioner - Nurse Practitioner 2062898802

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
76.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41357975ILMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1629275953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 AVENUE C",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325410",
            "telephone_number": "217-442-3200",
            "fax_number": "217-442-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 AVENUE C",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618325410",
            "telephone_number": "217-442-3200",
            "fax_number": "217-442-7460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 N Market St",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618203634",
            "country_code": "US",
            "telephone_number": "217-373-2428",
            "fax_number": "217-373-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOENNES",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "IL",
            "license": "41357975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.