Amy Michelle Difatta, CNA,BA PSYCHOLOGY

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

465327627 Issued in MO

Practice address

10198 Highway D
Versailles, MO 65084-4169

Phone

(660) 676-8756

Fax

(660) 337-6682

NPI assigned

Nov 7, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Hope Home Care LLC

  • Home Health Agency
  • Versailles, MO
  • NPI 1881061323
  Authorized official Same address or phone

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1104222850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10198 HIGHWAY D",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650844169",
            "telephone_number": "660-676-8756",
            "fax_number": "660-337-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10198 HIGHWAY D",
            "city": "VERSAILLES",
            "state": "MO",
            "postal_code": "650844169",
            "telephone_number": "660-676-8756",
            "fax_number": "660-337-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFATTA",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "CNA,BA PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MO",
            "license": "465327627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Morgan School District 2
• Curators of the University of Missouri (Mizzou Pharmacy - Versailles)
• Melinda Lea Daniels, LPN
• David Joseph Dear, D.D.S.
• Scott Xavier Dear, D.D.S.
• Mary Ann Dimarsico, DO
• Margaret Dunn, PTA
• Scot Echols, MS, LMFT
• Raven Brooke Eckhoff, MS, LPC
• Erin Eggen, PTA

• Home Health Registered Nurse in Versailles, MO
• Providers in Versailles, MO by specialty
• Home Health Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.