Individual provider Active NPI

Amber Conn

  • Technician/Technologist
  • Sterling Heights, MI
National Provider Identifier
1194435685
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
103TC2200X Issued in MI
Practice address
38326 Plainview Dr
Sterling Heights, MI 48312-1437
Phone
(586) 845-8265
NPI assigned
Nov 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 103TC2200X MI Primary

Addresses

Primary practice location

38326 Plainview Dr
Sterling Heights, MI 48312-1437

Mailing address

38326 Plainview Dr
Sterling Heights, MI 48312-1437
Phone (586) 845-8265

Other practice location 1

33464 Schoenherr Rd Ste 180
Sterling Heights, MI 48312-6392
Phone (586) 999-5971

Other identifiers 1

IdentifierTypeStateIssuer
1223343236MedicaidMI

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

State licenses

LicenseStateTypeSpecialty
103TC2200XMIMDTechnician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1194435685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38326 PLAINVIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121437",
            "telephone_number": "586-845-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38326 PLAINVIEW DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121437",
            "telephone_number": "586-845-8265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33464 Schoenherr Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483126392",
            "country_code": "US",
            "telephone_number": "586-999-5971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "MI",
            "license": "103TC2200X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223343236",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.