Individual provider Active NPI

Amy Lunstedt, RN

  • Registered Nurse
  • Lincoln City, OR
National Provider Identifier
1366867863
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201041497RN Issued in OR
Practice address
4422 NE Devils Lake Blvd
Suite 2
Lincoln City, OR 97367-5000
Phone
(541) 265-0444
NPI assigned
Feb 20, 2014
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201041497RN OR Primary

Addresses

Primary practice location

4422 NE Devils Lake Blvd
Suite 2
Lincoln City, OR 97367-5000

Mailing address

4422 NE Devils Lake Blvd
Suite 2
Lincoln City, OR 97367-5000
Phone (541) 265-0444

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201041497RNORMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1366867863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4422 NE DEVILS LAKE BLVD",
            "address_2": "SUITE 2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675000",
            "telephone_number": "541-265-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 NE DEVILS LAKE BLVD",
            "address_2": "SUITE 2",
            "city": "LINCOLN CITY",
            "state": "OR",
            "postal_code": "973675000",
            "telephone_number": "541-265-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSTEDT",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201041497RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.