Individual provider Active NPI

Amanda Thatcher, NP

  • Family Nurse Practitioner
  • Lima, OH
National Provider Identifier
1407518814
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0029966 Issued in OH
Practice address
1005 Bellefontaine Ave Ste 100
Lima, OH 45804-2871
Phone
(419) 227-5298
NPI assigned
Oct 13, 2021
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0029966 OH Primary

Addresses

Primary practice location

1005 Bellefontaine Ave Ste 100
Lima, OH 45804-2871

Mailing address

4352 Meadowlands Dr
Lima, OH 45805-4524
Phone (419) 302-4353

Other identifiers 1

IdentifierTypeStateIssuer
0463845MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.thatcher@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240710000403 OH Practitioner - Nurse Practitioner 0941745327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 Bellefontaine Ave
Suite 100
Lima, OH 45804-2871
Phone (419) 227-5298

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029966OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince May 20, 2024 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company PastSince Oct 1, 2021 Accepting new patients
Pediatrics of Lima Inc PastSince Oct 1, 2021 Accepting new patients

Locations

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1005 Bellefontaine Ave
Ste 100
Lima, OH 45804
Phone (419) 222-3521

602 W Redskin Trl
Wapakoneta, OH 45895
Phone (419) 738-5151

Interoperability endpoints

  • Direct secure messaging: amanda.thatcher@lmpc.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1407518814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 MEADOWLANDS DR",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458054524",
            "telephone_number": "419-302-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE STE 100",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042871",
            "telephone_number": "419-227-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THATCHER",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0029966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463845",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.thatcher@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave Ste 100",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.