Active NPI
Amber Lee Goldizen, NP
- Family Nurse Practitioner
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 79562
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN187456 | AZ | MD | Registered Nurse |
| 79562 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | 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.
-
- Student in an Organized Health Care Education/Training Program
- Flagstaff, AZ
- NPI 1275747206
-
- Local Education Agency (LEA)
- Flagstaff, AZ
- NPI 1407982226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.