Amanda Cole Vanden Heuvel, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10390 Issued in WI

Practice address

424 S Monroe Ave
Green Bay, WI 54301-4054

Phone

(920) 544-0346

Fax

(920) 489-8233

NPI assigned

Dec 14, 2021

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

Practice roles

Locations

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.

• N.E.W. Community Clinic, LTD

  • Federally Qualified Health Center (FQHC)
  • Green Bay, WI
  • NPI 1487878328
  NPD

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1982363222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 BODART ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014923",
            "telephone_number": "920-437-9773",
            "fax_number": "920-437-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MONROE AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543014054",
            "telephone_number": "920-544-0346",
            "fax_number": "920-489-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE VANDEN HEUVEL",
        "first_name": "AMANDA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma E Clusman, MSW, APSW
• Kelly Cobb, PHARMD
• Alex Coffman, MD
• Andrew Cohen, PHARM.D.
• Jason G Coisman, DO
• Rhonda Cole
• Angelina Coleman, OT
• Carinna L Coleman, PT
• Benjamin Collette, PT
• Carmen D Collier, CSAC, LPC

• Dental Hygienist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.