Amy Altamash, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704316352 Issued in MI

Practice address

7443 Jackman Rd
Temperance, MI 48182-9223

Phone

(734) 850-0100

Fax

(734) 850-0112

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Alo Med PLLC

  • Clinic/Center
  • Ida, MI
  • NPI 1831113414
  Medicare reassignment NPD

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1003288457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7443 JACKMAN RD",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829223",
            "telephone_number": "734-850-0100",
            "fax_number": "734-850-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7443 JACKMAN RD",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829223",
            "telephone_number": "734-850-0100",
            "fax_number": "734-850-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMASH",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316352",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "361679",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001241905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Renee' Adebiyi, LLPC
• Ags Holding LLC
• Shobha Rakesh Ahuja, PT,DPT
• Susan Collette Alspaugh, COTA/L
• Jessica Marie Andrews, COTA/L
• Alexandria Andrzejewski, DDS
• Akosua S Appiagyei, DDS
• Aspen Ridge, LLC
• Athletico LTD

• Family Nurse Practitioner in Temperance, MI
• Providers in Temperance, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.