Amy Boardman Patten, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN1009331 Issued in DC

Practice address

125 Michgan Ave NE
Health and Wellness Center
Washington, DC 20017-1004

Phone

(202) 884-9613

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.patten.1@13711.direct.athenahealth.com

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.

• VMD Primary Providers of South Central Texas PLLC

  • Family Medicine Physician
  • Austin, TX
  • NPI 1790318566
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492128000000",
    "number": "1225154651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MICHGAN AVE NE",
            "address_2": "HEALTH AND WELLNESS CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171004",
            "telephone_number": "202-884-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MICHGAN AVE NE",
            "address_2": "HEALTH AND WELLNESS CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200171004",
            "telephone_number": "202-884-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "AMY",
        "middle_name": "BOARDMAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2017-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1009331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taimeisha Patrick
• Yetunde Ibiyemi Patrick, DDS
• Adilisha Patrom
• Patrons Healthcare Services
• Rajaram Pattar, MD
• Crystal Patten
• Lynette Apprille Patten
• Priscilla S Patten, AA
• Daniel John Pattenden, MSW
• Zanetta Arlene Patterson Butler

• Family Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Family Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.