Amanda Deremo

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

318603 Issued in WI

Legal business name

AMANDA DEREMO

Practice address

82 Falling Creek Cir
Janesville, WI 53548-9106

Phone

(608) 449-1399

NPI assigned

Sep 25, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda DeremoNPI 1720482557

Title

Employer

Phone

(608) 449-1399

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Deremo, LPN

  • Licensed Practical Nurse
  • Janesville, WI
  • NPI 1720482557
  NPD (past) Authorized official

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1922400563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 FALLING CREEK CIR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535489106",
            "telephone_number": "608-449-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 FALLING CREEK CIR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535489106",
            "telephone_number": "608-449-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA DEREMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "DEREMO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EMPLOYER",
        "authorized_official_telephone_number": "608-449-1399"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "WI",
            "license": "318603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lee Allen, COTA
• Rachel Diane Allen, MD
• Omar Alnaser, M.D.
• Giuseppe A Altamore, DO
• Arthur Mark Altbuch, M.D.
• Jenny Rebecca Amani, M.D.
• Melissa R Amertil, MD
• Ams of Wisconsin-Janesville, LLC
• Rebecca Amstutz, IBCLC, SCD
• Yone Amuka, MD

• Exclusive Provider Organization in Janesville, WI
• Providers in Janesville, WI by specialty
• Exclusive Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.