Amy Lynn Donovan, RN,CCM,QRP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

52804 Issued in WV

Practice address

144 Washington Cir
Hurricane, WV 25526-9619

Phone

(304) 757-2621

NPI assigned

Apr 27, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326268673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WASHINGTON CIR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269619",
            "telephone_number": "304-757-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 WASHINGTON CIR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269619",
            "telephone_number": "304-757-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN,CCM,QRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WV",
            "license": "52804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Charles Dicristofaro, M.D.
• Ashleigh Lauryn Diddle, COTA/L
• Sarah Keeney Doerner, MPT
• Keitina Donahue-Lunsford, D.O.
• Cory Tyler Donley, BS, LAT, ATC
• Ryan Dotson, DPT
• Tamisha R Dotson, PTA
• Erin Tiffany Doyle, MPT
• Dr David S Ratliff Inc
• Dr Leonard a Fichter Inc

• Case Manager/Care Coordinator in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Case Manager/Care Coordinator in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.