Active NPI
Amy Paul, BSN, RN, IBCLC
- Registered Nurse
- Burns, OR
National Provider Identifier
1265818702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 200342091RN
- Practice address
- 16 Fairview Heights Loop
Burns, OR 97720-2324 - Phone
- (503) 724-7654
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 200342091RN | OR | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-68502 | OR |
Addresses
Primary practice location
16 Fairview Heights Loop
Burns, OR 97720-2324
Mailing address
16 Fairview Heights Loop
Burns, OR 97720-2324
Phone (503) 724-7654
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)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200342091RN | OR | MD | Registered Nurse |
| L-68502 | OR | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1265818702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FAIRVIEW HEIGHTS LOOP",
"city": "BURNS",
"state": "OR",
"postal_code": "977202324",
"telephone_number": "503-724-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 FAIRVIEW HEIGHTS LOOP",
"city": "BURNS",
"state": "OR",
"postal_code": "977202324",
"telephone_number": "503-724-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "AMY",
"credential": "BSN, RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "200342091RN",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "OR",
"license": "L-68502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burns, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.