Active NPI
Amanda Le Larkin, LISW
- Social Worker
- Ottumwa, IA
National Provider Identifier
1174516785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 05847
- Practice address
- 110 E Main St
Ottumwa, IA 52501-2910 - Phone
- (641) 682-8772
- NPI assigned
- Aug 30, 2005
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 05847 | IA | Primary |
Addresses
Primary practice location
110 E Main St
Ottumwa, IA 52501-2910
Mailing address
110 E Main St
Ottumwa, IA 52501-2910
Phone (641) 682-8772
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220784 | Other | IA | IOWA HEALTH SOLUTIONS |
| P00043190 | Other | IA | RAILROAD MEDICARE |
| I022 | Other | IA | TRIWEST |
| 0298372 | Medicaid | IA |
Other names 1
- Amanda L McCrea-Carter
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ottumwa Regional Health Center Inc | Past | Accepting new patients |
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.
-
- Home Health Agency
- Ottumwa, IA
- NPI 1750383055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1174516785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E MAIN ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012910",
"telephone_number": "641-682-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MAIN ST",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525012910",
"telephone_number": "641-682-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "AMANDA",
"middle_name": "LE",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "05847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA HEALTH SOLUTIONS",
"identifier": "220784",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00043190",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "I022",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0298372",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "MCCREA-CARTER",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.