Individual provider Active NPI

Amy Elizabeth Machen, PA-C

  • Physician Assistant
  • Hurricane, UT
National Provider Identifier
1164084943
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
25 N 2000 W Ste 3
Hurricane, UT 84737-4115
Phone
(435) 635-9444
Fax
(435) 635-8108
NPI assigned
Jul 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

25 N 2000 W Ste 3
Hurricane, UT 84737-4115

Mailing address

339 W Shield St
Ivins, UT 84738-1287
Phone (509) 847-8903

Other practice location 1

545 W State St Ste 9
Hurricane, UT 84737-2271
Phone (435) 635-9444

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hurricane Family Practice, PC PastSince Mar 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9149/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amy.machen.1@9149.direct.athenahealth.com

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1164084943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 W SHIELD ST",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847381287",
            "telephone_number": "509-847-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N 2000 W STE 3",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847374115",
            "telephone_number": "435-635-9444",
            "fax_number": "435-635-8108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 W State St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Hurricane",
            "state": "UT",
            "postal_code": "847372271",
            "country_code": "US",
            "telephone_number": "435-635-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACHEN",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.