Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda L Lavallee, APRN, CNP

Individual provider Neonatal Nurse Practitioner · NPI 1720148091

Amanda L Lavallee, APRN, CNP is a Nurse Practitioner in Peoria, Illinois. Qualified in 2005, 21 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Idaho, Illinois and Texas.

Years since qualifying
21
Licensed in
ID, IL, TX
In the registry since
2006
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1055 N Curtis Rd, Boise, ID 83706-1309 — (208) 302-4600
  • 3917 West Rd, Los Alamos, NM 87544-2275 — (505) 661-9228

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 209032798 (IL)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence NP124639 (TX)
Neonatal Nurse Practitioner Taxonomy 363LN0000X · Licence 2471949 (ID)

Record details

NPI number1720148091
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedDecember 9, 2006
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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