Individual provider Active NPI

Amy Sue Brightbill, LSW

  • Social Worker
  • Mechanicsburg, PA
National Provider Identifier
1073672366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW011558L Issued in PA
Practice address
960 Century Dr
Mechanicsburg, PA 17055-4374
Phone
(717) 795-0330
Fax
(717) 795-0407
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW011558L PA Primary

Addresses

Primary practice location

960 Century Dr
Mechanicsburg, PA 17055-4374

Mailing address

15 Rockledge Dr
Mechanicsburg, PA 17050-2740
Phone (717) 697-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW011558LPAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073672366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ROCKLEDGE DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502740",
            "telephone_number": "717-697-4251",
            "fax_number": "717-795-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 CENTURY DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554374",
            "telephone_number": "717-795-0330",
            "fax_number": "717-795-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHTBILL",
        "first_name": "AMY",
        "middle_name": "SUE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW011558L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • 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.