Individual provider Active NPI

Amber Lynn Clites

  • Family Nurse Practitioner
  • Tarentum, PA
National Provider Identifier
1033714548
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP022826 Issued in PA
Practice address
303 E 10TH Ave
Tarentum, PA 15084-1003
Phone
(724) 224-2770
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN679482 PA
Nurse Practitioner 363L00000X SP022826 PA
Family Nurse Practitioner 363LF0000X SP022826 PA Primary

Addresses

Primary practice location

303 E 10TH Ave
Tarentum, PA 15084-1003

Mailing address

303 E 10TH Ave
Tarentum, PA 15084-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210105002481 PA Practitioner - Nurse Practitioner 6709299092 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN679482PAMDRegistered Nurse
SP022826PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 21, 2020 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. CurrentSince Jan 25, 2025 Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania CurrentSince Nov 21, 2020 Accepting new patients
Urgent Care, PC - Pennsylvania Current Accepting new patients
Medexpress Urgent Care, PC - Pennsylvania Past Accepting new patients

Locations

4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278

303 E 10th Ave
Tarentum, PA 15084
Phone (724) 224-2770

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1033714548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 10TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 10TH AVE",
            "city": "TARENTUM",
            "state": "PA",
            "postal_code": "150841003",
            "telephone_number": "724-224-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLITES",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN679482",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022826",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarentum, PA

Sources for this page

Verify at the official NPI Registry.