Active NPI
Amber R Arndt, PA-C
- Physician Assistant
- Saint Paul, MN
National Provider Identifier
1376726281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 12409
- Practice address
- 17 Exchange St W Ste 662
Saint Paul, MN 55102-1045 - Phone
- (651) 277-9141
- Fax
- (651) 291-5992
- NPI assigned
- Dec 13, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085003113 | IL | |
| Physician Assistant | 363A00000X | 12409 | MN | Primary |
Addresses
Primary practice location
17 Exchange St W Ste 662
Saint Paul, MN 55102-1045
Mailing address
17 Exchange St W Ste 662
Saint Paul, MN 55102-1045
Other practice location 1
680 N Lake Shore Dr
Suite 1200
Chicago, IL 60611-4546
Phone (312) 440-9400
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12409 | MN | MD | Physical Therapist |
| 085003113 | IL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1376726281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 EXCHANGE ST W STE 662",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 EXCHANGE ST W STE 662",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021045",
"telephone_number": "651-277-9141",
"fax_number": "651-291-5992"
}
],
"practiceLocations": [
{
"address_1": "680 N Lake Shore Dr",
"address_2": "Suite 1200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606114546",
"country_code": "US",
"telephone_number": "312-440-9400",
"fax_number": "312-440-0423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARNDT",
"first_name": "AMBER",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085003113",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "12409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.