Individual provider Active NPI

Amy M Thein, FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1124199492
Registry record updated Apr 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN106926 Issued in AZ
Practice address
3345 N Windsong Dr
Prescott Valley, AZ 86314-2283
Phone
(928) 445-5211
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN106926 AZ Primary

Addresses

Primary practice location

3345 N Windsong Dr
Prescott Valley, AZ 86314-2283

Mailing address

3343 N Windsong Dr
Prescott Valley, AZ 86314-1213
Phone (928) 445-5211

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Yavapai Guidance Clinic, Inc Current Accepting new patients

Locations

642 Dameron Dr
Prescott, AZ 86301
Phone 9284455211189

505 S Cortez St
Prescott, AZ 86303
Phone (602) 445-7730

3345 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 583-6411

3347 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 499-6908

3343 N Windsong Dr
Prescott Vly, AZ 86314
Phone (406) 541-3669

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1124199492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141213",
            "telephone_number": "928-445-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142283",
            "telephone_number": "928-445-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEIN",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN106926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.