Individual provider Active NPI

Amy Diane Garvey, ANP-BC

  • Adult Health Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1134557770
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2013037724 Issued in MO
Practice address
91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone
(314) 831-8600
Fax
(314) 831-0086
NPI assigned
Oct 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013037724 MO Primary

Addresses

Primary practice location

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934

Mailing address

91 Florissant Oaks Shop Ctr
Florissant, MO 63031-3934
Phone (314) 831-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140208000159 MO Practitioner - Nurse Practitioner 2062641384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

637 Dunn Rd
Hazelwood, MO 63042-1755
Phone (314) 921-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Oct 21, 2013 Accepting new patients

Locations

15945 Clayton Rd
Ste 340
Ballwin, MO 63011
Phone (636) 256-5130

91 Florissant Oaks Shop Ctr
Florissant, MO 63031
Phone (314) 831-8600

637 Dunn Rd
Ste 102A
Hazelwood, MO 63042
Phone (314) 831-8600

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: agarvey387337@directc.mercy.net

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": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1134557770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600",
            "fax_number": "314-831-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 FLORISSANT OAKS SHOP CTR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630313934",
            "telephone_number": "314-831-8600",
            "fax_number": "314-831-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-16",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013037724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.