Amy Chamberlain

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

79941063102 Issued in UT

Practice address

1788 E Cloverdale Rd
Cottonwood Heights, UT 84121-2863

Phone

(801) 699-3364

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Wasatch Pediatrics, Inc

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1124102595
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1205527991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 E CLOVERDALE RD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212863",
            "telephone_number": "801-699-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 E CLOVERDALE RD",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841212863",
            "telephone_number": "801-699-3364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "UT",
            "license": "79941063102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Carver
• Ana Castner
• Kaylee Vernice Casutt
• Catholic Health Initiatives Colorado
• Center for Expressive Therapies
• William Jordan Charles
• Madelyn CHI
• Ibrahim Mohammad Choudhary
• Kathryn Marie Chovanec, PTA
• Haley Anne Christensen, RDN

• Neonatal Intensive Care Registered Nurse in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Neonatal Intensive Care Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.