Amy Elizabeth Kupper, MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY60803628 Issued in WA

Practice address

11311 Bridgeport Way SW Ste 309
Lakewood, WA 98499-3078

Phone

(253) 985-2949

Fax

(206) 933-1047

NPI assigned

Jul 24, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: akupper254685@fhsce.catholichealth.net

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1306288899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993078",
            "telephone_number": "253-985-2949",
            "fax_number": "206-933-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 309",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993078",
            "telephone_number": "253-985-2949",
            "fax_number": "206-933-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60803628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2099871",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akupper254685@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11311 Bridgeport Way SW Ste 309",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James D. Kuether, MA, LMHC, MHP
• James Kuhn
• Grace Kuhnly
• Dawn Kundert
• Paul Kungu, BS
• Jesse Barfield Robert Kurtti, CO-60555621
• Diana M Kurtz
• Kelly Kustok
• Liah W Kwak
• Dan Kwan

• Clinical Psychologist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.