Amanda Jean Dahlseng, RN, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R191328-0 Issued in MN

Practice address

809 Elm Street
Suite 1200
Alexandria, MN 56308

Phone

(320) 815-6124

NPI assigned

Dec 23, 2015

Last updated

Dec 23, 2015By the provider in NPPES

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

Other names 1

• Amanda Jean Ihnen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1659736221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ELM STREET",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-815-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELM STREET",
            "address_2": "SUITE 1200",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "telephone_number": "320-815-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSENG",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R191328-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "IHNEN",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cutting Edge Wellness LLC (Cornerstone Chiropractic and Wellness)
• Richelle M Dack, PT
• Scott L. Dack, MPAS/ATC/PAC
• Tesa T Dahl, MS, BCBA, LBA
• Michael Richard Dahlquist, D.C.
• David Bruce Dahlseng
• Lucas Wayne Dahlseng
• Skyler Holte Dahlseng, DO
• Paul Alan Dale, MD
• Breanna Dallum

• Community Health Registered Nurse in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.