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AMANDA J VANDEN WYNBOOM ARNP
NPI 1902321110
Nurse Practitioner - Family in Ames, IA

Active since August 08, 2017
1606 GOLDEN ASPEN DR STE 105, AMES, IA 50010(515) 620-5892(515) 620-5893 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 19, 2021, Apr 16, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Amanda J Vanden Wynboom Arnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA J VANDEN WYNBOOM ARNP (NPI 1902321110) is an individual family provider in Ames, Iowa, licensed in Iowa (A125509) and active in the NPI registry since August 2017. She maintains a secondary practice location in Chantilly.

NPPES Registry Identity

NPI1902321110
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA J VANDEN WYNBOOMCredential: ARNP
Location Address1606 GOLDEN ASPEN DR STE 105Ames, IA 50010-8011
Mailing Address1103 Ridgetop DrHuxley, IA 50124-4704 · (641) 485-8164
Phone(515) 620-5892
Fax(515) 620-5893
Sole ProprietorNo
Enumeration DateAugust 8, 2017
Last NPPES UpdateApril 19, 20215 updates tracked since enumeration
NPPES CertifiedApril 19, 2021
✔ NPI 1902321110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A125509
1606 GOLDEN ASPEN DR STE 105, Ames, IA 50010
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Secondary Practice Location 1

Location 114121 Parke Long CtChantilly, VA 20151-1647 · Phone (641) 485-8164

Other Identifiers 2

Medicaid0227735IA
OtherC00000057738IA · Bcbs Of Iowa

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AUDRA HAGLUND ARNP, CNM
Nurse Practitioner (Obstetrics & Gynecology)
1606 GOLDEN ASPEN DR STE 105
AMES, IA 50010
Story County (515) 620-5892

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda J Vanden Wynboom's NPI number?

The NPI number for Amanda J Vanden Wynboom is 1902321110. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Where is Amanda J Vanden Wynboom located?

Amanda J Vanden Wynboom practices at 1606 Golden Aspen Dr Ste 105, Ames, IA 50010. The listed phone number is (515) 620-5892.

What is Amanda J Vanden Wynboom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda J Vanden Wynboom was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.