Individual provider Active NPI

Amanda Jo Dumers, CPNP

  • Pediatric Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1215322680
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2015005082 Issued in MO
Practice address
205 W Rd Mize Rd Ste 300
Blue Springs, MO 64014-2520
Phone
(816) 228-4770
NPI assigned
Apr 2, 2015
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2015005082 MO Primary

Addresses

Primary practice location

205 W Rd Mize Rd Ste 300
Blue Springs, MO 64014-2520

Mailing address

205 W Rd Mize Rd Ste 300
Blue Springs, MO 64014-2520

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015005082MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Health Alliance, LLC Past Accepting new patients
Children's Mercy-Cockerell and McIntosh Pediatrics, Inc PastSince Jul 31, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adumers159671@direct.nemours.org

Organizations & group practices 2

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1215322680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W RD MIZE RD STE 300",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W RD MIZE RD STE 300",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142520",
            "telephone_number": "816-228-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMERS",
        "first_name": "AMANDA",
        "middle_name": "JO",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2015005082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.