Individual provider Active NPI

Amy Ravel Tinney, MSN, FNP-C, CPM , LM

  • Family Nurse Practitioner
  • Playa del Rey, CA
National Provider Identifier
1306175583
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019865 Issued in CA
Practice address
6338 Vista del Mar
Playa del Rey, CA 90293-7540
Phone
(424) 835-4186
Fax
(310) 421-1414
NPI assigned
Dec 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 661352 CA
Maternal Newborn Registered Nurse 163WM0102X 661352 CA
Midwife 176B00000X LM254 CA
Family Nurse Practitioner 363LF0000X 95019865 CA Primary

Addresses

Primary practice location

6338 Vista del Mar
Playa del Rey, CA 90293-7540

Mailing address

6338 Vista del Mar
Playa del Rey, CA 90293-7540
Phone (424) 835-4186

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Health Information Exchange (HIE)

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
661352CAMDRegistered Nurse
LM254CAMDMidwife
95019865CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Nursing Care, Inc. Past Accepting new patients
Art of Birthing Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1306175583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 VISTA DEL MAR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937540",
            "telephone_number": "424-835-4186",
            "fax_number": "310-421-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 VISTA DEL MAR",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937540",
            "telephone_number": "424-835-4186",
            "fax_number": "310-421-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNEY",
        "first_name": "AMY",
        "middle_name": "RAVEL",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-C, CPM , LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-16",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "661352",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "661352",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "LM254",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "6338 Vista Del Mar",
            "city": "Playa Del Rey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902937540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.