Active NPI
Amber Lynn Clites
- Family Nurse Practitioner
- Tarentum, PA
National Provider Identifier
1033714548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP022826
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN679482 | PA | MD | Registered Nurse |
| SP022826 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Ahn Emergency Group of Pittsburgh LTD. | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | 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.
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1043635402
PA
-
- Urgent Care Clinic/Center
- Bridgeville, PA
- NPI 1720336829
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
- Urgent Care Clinic/Center
- Brookhaven, PA
- NPI 1437681335
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.