Amanda Patterson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

265329 Issued in WI

Practice address

630 S Central Ave Ste 700
Marshfield, WI 54449-4138

Phone

(715) 221-5743

NPI assigned

Sep 29, 2023

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

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1700666542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N 2ND ST",
            "city": "COLBY",
            "state": "WI",
            "postal_code": "544219639",
            "telephone_number": "785-443-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S CENTRAL AVE STE 700",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494138",
            "telephone_number": "715-221-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "265329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khushboo Naginbhai Patel, MD
• Sagar Ketankumar Patel, MD
• Ram D Pathak, MD
• Sumedha Ram Pathak, MD
• Stella Frunza Patten, MD
• Scott J Paulman, MD
• Lisa E Paulson, MT-BC
• Catherine Pecak
• Christiana Gloria Pedersen, MD
• Megan Peissig

• Registered Nurse in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.