Individual provider Active NPI

Amanda Hussman, DC

  • Chiropractor
  • Waterloo, IA
National Provider Identifier
1922591452
Registry record updated Jun 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
088874 Issued in IA
Practice address
203 E Tower Park Dr Ste B
Waterloo, IA 50701-9321
Phone
(319) 232-5202
NPI assigned
Jun 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 088874 IA Primary

Addresses

Primary practice location

203 E Tower Park Dr Ste B
Waterloo, IA 50701-9321

Mailing address

2450 315TH St
Perry, IA 50220-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spines & Grinds LLC Chiropractor CurrentSince Dec 3, 2023 Accepting new patients

Locations

203 E Tower Park Dr
Ste B
Waterloo, IA 50701
Phone (319) 232-5202

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528502400000",
    "number": "1922591452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 315TH ST",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502208503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E TOWER PARK DR STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019321",
            "telephone_number": "319-232-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSMAN",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "088874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; 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.