Amanda Meyers, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008930A Issued in IN

Practice address

1001 Calumet Ave
Dyer, IN 46311-1596

Phone

(219) 924-8178

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.meyers@nwoncologypc.ikm.direct-ci.com

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1235698408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111596",
            "telephone_number": "219-924-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111596",
            "telephone_number": "219-924-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "AMANDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28203602A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008930A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amanda.Meyers@nwoncologypc.ikm.direct-ci.com",
            "affiliation": "N",
            "address_1": "1001 Calumet Ave",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Medical Specialists Inc., PC
• Medina Healthcare SC
• Jasmine Sky Mercado
• Jacqueline Nicole Mergenthaler
• Matthew E Meyer, MD
• Aurelia Mican, M.D.
• Lisa Jennifer Mickelson, R.N.
• Midwest Billing Services LLC
• Midwest Express Care 4, LLC
• Midwest Imaging Center Inc

• Family Nurse Practitioner in Dyer, IN
• Providers in Dyer, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.