Beth Larae Amos, C.F.A

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

83259 Issued in ID

Practice address

404 E Elm St
Caldwell, ID 83605-4846

Phone

(208) 459-0028

Fax

(208) 459-0380

NPI assigned

Mar 2, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053440644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12262 W MELLOW CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054846",
            "telephone_number": "208-459-0028",
            "fax_number": "208-459-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "BETH",
        "middle_name": "LARAE",
        "credential": "C.F.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "ID",
            "license": "83259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION FOR THE SUR",
            "identifier": "83259",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgical Technologist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Surgical Technologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.