Active NPI
Amy E Meyer, CPNP
- Pediatric Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1255407284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R1459582
- Practice address
- 347 North Smith Avenue Suite 504
Childrens Specialty Clinic Infectious Diseases STPL
St Paul, MN 55102 - Phone
- (651) 220-6444
- Fax
- (651) 220-7233
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R1459582 | MN | |
| Pediatric Nurse Practitioner | 363LP0200X | R1459582 | MN | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | R1459582 | MN |
Addresses
Primary practice location
347 North Smith Avenue Suite 504
Childrens Specialty Clinic Infectious Diseases STPL
St Paul, MN 55102
Mailing address
2910 Centre Pointe Drive 35121a
Childrens Health Care
Roseville, MN 55113
Phone (651) 855-2327
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1255407284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 CENTRE POINTE DRIVE 35121A",
"address_2": "CHILDRENS HEALTH CARE",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "55113",
"telephone_number": "651-855-2327",
"fax_number": "651-855-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 NORTH SMITH AVENUE SUITE 504",
"address_2": "CHILDRENS SPECIALTY CLINIC INFECTIOUS DISEASES STPL",
"city": "ST PAUL",
"state": "MN",
"postal_code": "55102",
"telephone_number": "651-220-6444",
"fax_number": "651-220-7233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "AMY",
"middle_name": "E",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R1459582",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R1459582",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MN",
"license": "R1459582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.