Individual provider Active NPI

Amanda J Ozenberger, RN, MSN, PCCN, CPHQ

  • Registered Nurse
  • Saint Joseph, MO
National Provider Identifier
1124937206
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2008020082 Issued in MO
Practice address
4782 Sienna Dr
Saint Joseph, MO 64506-4862
Phone
(913) 638-1672
NPI assigned
Sep 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2008020082 MO Primary

Addresses

Primary practice location

4782 Sienna Dr
Saint Joseph, MO 64506-4862

Mailing address

4782 Sienna Dr
Saint Joseph, MO 64506-4862
Phone (913) 638-1672

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1124937206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4782 SIENNA DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064862",
            "telephone_number": "913-638-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4782 SIENNA DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064862",
            "telephone_number": "913-638-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZENBERGER",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "RN, MSN, PCCN, CPHQ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008020082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.