Active NPI
Amy Susan Hecht, RN, MSN, FNP
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1295749950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 356403
- Practice address
- 8810 Rio San Diego Drive
VA Mission Valley Outpatient Clinic
San Diego, CA 92108 - Phone
- (619) 400-5127
- Fax
- (619) 400-5153
- NPI assigned
- Jul 28, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 356403 | CA | Primary |
Addresses
Primary practice location
8810 Rio San Diego Drive
VA Mission Valley Outpatient Clinic
San Diego, CA 92108
Mailing address
4258 Blackton Dr
La Mesa, CA 91941-7511
Phone (619) 303-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200804003768 | CA | Order and Referring Only - Nurse Practitioner | 2466877626 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12226 | CA | MD | Speech-Language Pathologist |
| 356403 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295749950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 BLACKTON DR",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417511",
"telephone_number": "619-303-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 RIO SAN DIEGO DRIVE",
"address_2": "VA MISSION VALLEY OUTPATIENT CLINIC",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92108",
"telephone_number": "619-400-5127",
"fax_number": "619-400-5153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECHT",
"first_name": "AMY",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "RN, MSN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "356403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.