Individual provider Active NPI

Amy Marie Read, AGACNP

  • Acute Care Nurse Practitioner
  • Scotts, MI
National Provider Identifier
1184165995
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704276346 Issued in MI
Practice address
9085 Long Lake Dr E
Scotts, MI 49088-9762
Phone
(843) 424-1015
Fax
(269) 326-5009
NPI assigned
Mar 13, 2017
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704276346 MI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024185984 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC004971 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 363LP0808X MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 432506 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X A26394 SC

Addresses

Primary practice location

9085 Long Lake Dr E
Scotts, MI 49088-9762

Mailing address

9085 Long Lake Dr E
Scotts, MI 49088-9762
Phone (843) 424-1015

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

State licenses

LicenseStateTypeSpecialty
363LP0808XMIMDNurse Practitioner
4704276346MIMDAcute Care Nurse Practitioner
AC004971MDMDPsychiatric/Mental Health Nurse Practitioner
432506NYMDPsychiatric/Mental Health Nurse Practitioner
A26394SCMDPsychiatric/Mental Health Nurse Practitioner
0024185984VAMDPsychiatric/Mental Health Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1184165995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 LONG LAKE DR E",
            "city": "SCOTTS",
            "state": "MI",
            "postal_code": "490889762",
            "telephone_number": "843-424-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 LONG LAKE DR E",
            "city": "SCOTTS",
            "state": "MI",
            "postal_code": "490889762",
            "telephone_number": "843-424-1015",
            "fax_number": "269-326-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "READ",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704276346",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185984",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC004971",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "363LP0808X",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "432506",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "A26394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.