Active NPI
Amy Humphrey, DNP, FNP-BC
- Family Nurse Practitioner
- Lake Oswego, OR
National Provider Identifier
1265887335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201800084NP
- Practice address
- 5 Centerpointe Dr Ste 600
Lake Oswego, OR 97035-8662 - Phone
- (503) 351-1278
- Fax
- (866) 770-2037
- NPI assigned
- Apr 26, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP8622 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 201800084NP | OR | Primary |
Addresses
Primary practice location
5 Centerpointe Dr Ste 600
Lake Oswego, OR 97035-8662
Mailing address
1055 NE Creeksedge Dr
Hillsboro, OR 97124-1316
Other practice location 1
50 E Croydon Park Rd
Tucson, AZ 85704-5792
Phone (520) 696-3438
Other practice location 2
135 NE 102nd Ave
Portland, OR 97220-4167
Phone (503) 894-9005
Other names 1
- Amy Butler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201800084NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Care Inc | Current | Accepting new patients | |
| Atlas Medical Aco LLC | Current | Accepting new patients | |
| Velo Med Urgent Care PC | Past | Accepting new patients |
Locations
7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846
Interoperability endpoints
- amy.humphrey@57560418353156.direct.elationemr.com
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.
-
- Clinic/Center
- Mesa, AZ
- NPI 1396573705
-
- Clinic/Center
- Tucson, AZ
- NPI 1295932416
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tucson, AZ
- NPI 1063743078
-
- Home Health Agency
- Tucson, AZ
- NPI 1841221751
-
- Home Health Agency
- Tucson, AZ
- NPI 1902847973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600300800000",
"number": "1265887335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 NE CREEKSEDGE DR",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971241316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CENTERPOINTE DR STE 600",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970358662",
"telephone_number": "503-351-1278",
"fax_number": "866-770-2037"
}
],
"practiceLocations": [
{
"address_1": "50 E Croydon Park Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857045792",
"country_code": "US",
"telephone_number": "520-696-3438",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "135 NE 102nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972204167",
"country_code": "US",
"telephone_number": "503-894-9005",
"fax_number": "503-719-4178",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHREY",
"first_name": "AMY",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2020-09-17",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8622",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201800084NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "BUTLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.