Destani Amos

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN318655 Issued in PA

Practice address

2141 Oregon Pike
Lancaster, PA 17602-4604

Phone

(717) 617-2708

NPI assigned

Jul 30, 2025

Last updated

Jul 30, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1265315758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 SHORT ST EDWARDSVILLE, PA 18704",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "272-268-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 OREGON PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176024604",
            "telephone_number": "717-617-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOS",
        "first_name": "DESTANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN318655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Family Dental Care, P.C. (Lancaster Dental Arts, P.C.)
• Ameristar Healthcare Services, LLC
• Casey Ammon, CRNA
• Kenneth Amoo-Mitchual, PHARMD
• Shelby Amoo-Mitchual
• Elizabeth A Amos, APRN
• Elom Dowuin Amoussou-Kpeto, M.D.
• Ye Jin Annie An, DDS
• Rebecca A. Anastasio
• Kimberly A Andersen, CRNP

• Licensed Practical Nurse in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.