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

Last updated

Oct 29, 2015By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alo Med PLLC

  dba Ida Family Wellness Center

  • 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
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• 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 (Hickory Ridge of Temperance)
• Athletico LTD (Accelerated Rehabilitation Centers, 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.