Amanda Howe Parker Bartlett, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1936 Issued in NV

Practice address

7170 Smoke Ranch Rd Ste 110
Las Vegas, NV 89128-3208

Phone

(702) 463-3333

NPI assigned

Feb 20, 2018

Last updated

Feb 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Erin Howe Parker Former name

Medicare fee-for-service enrollment

Enrolled in NV, HI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fife Dermatology PCGroup PAC ID 1355480252, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: amanda.bartlett.1@16958.direct.athenahealth.com

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.

• Fife Dermatology, P.C.

  dba Surgical Dermatology and Laser Center

  • MOHS-Micrographic Surgery Physician
  • Las Vegas, NV
  • NPI 1740516699
  Medicare reassignment Care Compare group
• Fife Dermatology, P.C.

  • MOHS-Micrographic Surgery Physician
  • Henderson, NV
  • NPI 1821569138
  NPD (past)
• David J Mols RPT Inc

  • Physical Therapy Clinic/Center
  • Aiea, HI
  • NPI 1154760643
  NPD (past)
• Dermatology Specialists of Hawaii, LLC

  dba Hawaii Dermatology and Surgery

  • Medical Specialty Clinic/Center
  • Aiea, HI
  • NPI 1891506739
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1104326727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 SMOKE RANCH RD # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7170 SMOKE RANCH RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283208",
            "telephone_number": "702-463-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "AMANDA",
        "middle_name": "HOWE PARKER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PARKER",
            "middle_name": "ERIN HOWE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brent Frederick Bartholomew, MD
• Dante Bartholomew
• Dennis Bartholomew
• Christine M Bartish, RPH
• Alison Bartko, RPH
• Curtis Bartlett
• Sumra Bartlett
• Beverly Bartley-Martin
• Jasmine Bartley
• Jason Bartley

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.