Individual provider Active NPI

Amanda Joy Dech, MSN/FNP-C

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1013479260
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28168353A Issued in IN
Practice address
3229 Broadway Ste 205
Gary, IN 46409-1038
Phone
(219) 806-3000
NPI assigned
Apr 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28168353A IN Primary

Addresses

Primary practice location

3229 Broadway Ste 205
Gary, IN 46409-1038

Mailing address

5330 Harrison St
Merrillville, IN 46410-1465
Phone (219) 445-6469

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adech7827@themethodisthospitals.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20190517002310 IN Practitioner - Nurse Practitioner 2668715467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Illiana Vascular Centers Inc CurrentSince Jul 1, 2022 Accepting new patients
Porter-Starke Services Inc. CurrentSince Apr 13, 2019 Accepting new patients
Elite Family Nurse Practitioners, LLC Family Current Accepting new patients
Porter-Starke Services Inc. Current Accepting new patients
Porter-Starke Services Inc. CurrentSince Apr 13, 2019 Accepting new patients

Locations

236 E Irving Park Rd
Wood Dale, IL 60191
Phone (301) 982-2000

407 W Indiana Ave
Chesterton, IN 46304
Phone (219) 712-3875

3229 Broadway
Ste 205
Gary, IN 46409
Phone (219) 806-3000

3229 Broadway
Ste 102
Gary, IN 46409
Phone (219) 806-3011

9305 Calumet Ave
Ste E2
Munster, IN 46321
Phone (219) 289-8147

601 Wall St
Valparaiso, IN 46383
Phone (219) 806-3011

Interoperability endpoints

  • Direct secure messaging: adech7827@themethodisthospitals.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1013479260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 HARRISON ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101465",
            "telephone_number": "219-445-6469",
            "fax_number": "219-245-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 BROADWAY STE 205",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464091038",
            "telephone_number": "219-806-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECH",
        "first_name": "AMANDA",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MSN/FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28168353A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adech7827@themethodisthospitals.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3229 Broadway Ste 205",
            "city": "Gary",
            "state": "IN",
            "country_code": "US",
            "postal_code": "464091038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.