Active NPI
Amanda Marire Barrett, PA
- Medical Physician Assistant
- Mesa, AZ
National Provider Identifier
1144349648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3360
- Practice address
- 6112 E Brown Rd
Mesa, AZ 85205-4955 - Phone
- (480) 924-4422
- Fax
- (480) 924-8822
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3360 | AZ | Primary |
Addresses
Primary practice location
6112 E Brown Rd
Mesa, AZ 85205-4955
Mailing address
6112 E Brown Rd
Mesa, AZ 85205-4955
Phone (480) 924-4422
Other names 1
- Amanda Marie Milner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6112 E Brown Rd
Mesa, AZ 85205-4955
Phone 4809244422227
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3360 | AZ | MD | General Practice Dentistry |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCGBAA/Endpoint/GCGBAA
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.
-
- Clinic/Center
- Mesa, AZ
- NPI 1356523492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1144349648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6112 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852054955",
"telephone_number": "480-924-4422",
"fax_number": "480-924-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 E BROWN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852054955",
"telephone_number": "480-924-4422",
"fax_number": "480-924-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "AMANDA",
"middle_name": "MARIRE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "3360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MILNER",
"middle_name": "MARIE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.