Amanda Kay Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6303 Issued in MN

Practice address

421 Front St S
Barnesville, MN 56514-3656

Phone

(651) 587-4747

NPI assigned

Jan 1, 2017

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• True Wellness Chiropractic & Acupuncture PC

  • Chiropractor
  • Barnesville, MN
  • NPI 1598371635
  Medicare reassignment Authorized official
• Live Well Chiropractic Spa and Acupuncture Center

  • Chiropractor
  • Chanhassen, MN
  • NPI 1225284342
  NPD (past)

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1891230710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 FRONT ST S",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "565143656",
            "telephone_number": "651-587-4747",
            "fax_number": "952-746-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 FRONT ST S",
            "city": "BARNESVILLE",
            "state": "MN",
            "postal_code": "565143656",
            "telephone_number": "651-587-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-01",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Region Healthcare Corporation
• Kindra Larsen-Schultz
• Minnesota Eyecare Network, Inc (Azure Vision Care)
• Cynthia Olson
• Owen R Thompson (Barnesville Area Clinic)
• Bethany Peterson, MSW
• Robert A Rostad, DDS
• Jeana R Scheffler, LPCC
• Gregory Kent Sletten, R.PH.
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Barnesville)

• Chiropractor in Barnesville, MN
• Providers in Barnesville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.