Active NPI
Amy Patricia Digennaro, MFA, MA, ATR, LMFT
- Marriage & Family Therapist
- Minneapolis, MN
National Provider Identifier
1306221163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3088
- Practice address
- 3129 43Rd Ave S
Minneapolis, MN 55406-2248 - Phone
- (612) 326-0725
- NPI assigned
- Jul 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 3088 | MN | Primary |
Addresses
Primary practice location
3129 43Rd Ave S
Minneapolis, MN 55406-2248
Mailing address
3129 43Rd Ave S
Minneapolis, MN 55406-2248
Phone (612) 326-0725
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 Arts, Master of Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3088 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1306221163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3129 43RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062248",
"telephone_number": "612-326-0725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3129 43RD AVE S",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554062248",
"telephone_number": "612-326-0725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGENNARO",
"first_name": "AMY",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "MFA, MA, ATR, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.