Individual provider Active NPI

Amber Lee Goldizen, NP

  • Family Nurse Practitioner
  • Olathe, KS
National Provider Identifier
1255735940
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79562 Issued in KS
Practice address
11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794
Phone
(913) 477-8308
NPI assigned
Oct 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN187456 AZ
Family Nurse Practitioner 363LF0000X 79562 KS Primary

Addresses

Primary practice location

11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794

Mailing address

11875 S Sunset Dr Ste 300
Olathe, KS 66061-2794
Phone (913) 477-8308

Other practice location 1

317 6th Ave Ste 400
Des Moines, IA 50309-4108
Phone (999) 999-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20210112002138 KS Practitioner - Nurse Practitioner 7719390798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians

Practice addresses (Care Compare)

801 E Douglas Ave
FL 2
Wichita, KS 67202-3548
Phone (831) 218-6882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN187456AZMDRegistered Nurse
79562KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC CurrentSince Apr 1, 2025 Accepting new patients
Flagstaff Unified School District Past Accepting new patients
Flagstaff Unified School District #1 Past Accepting new patients

Locations

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

8270 Woodland Center Blvd
#110112
Tampa, FL 33614
Phone (804) 200-7348

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1 Westbrook Corporate Ctr
Ste 300
Westchester, IL 60154
Phone (630) 709-1501

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208

1831 E 71st St
Tulsa, OK 74136
Phone (855) 632-6940

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1255735940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 300",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 6th Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094108",
            "country_code": "US",
            "telephone_number": "999-999-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDIZEN",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN187456",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "79562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.