Individual provider Active NPI

Amanda Christine Parrett, FNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1417459694
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2020022388 Issued in MO
Practice address
4921 Parkview PL
Ste 5a
Saint Louis, MO 63110-1032
Phone
(314) 747-5900
Fax
(314) 747-5936
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2020022388 MO Primary

Addresses

Primary practice location

4921 Parkview PL
Ste 5a
Saint Louis, MO 63110-1032

Mailing address

4921 Parkview PL
Ste 5a
Saint Louis, MO 63110-1032
Phone (314) 747-5900

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180417001615 CA Practitioner - Nurse Practitioner 5395008742 Reassigns benefits to 1 organization
I20201202002766 MO Practitioner - Nurse Practitioner 5395008742 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Lloyd MD Inc Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Washington University CurrentSince Oct 2, 2023 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Oct 13, 2020 Accepting new patients
Washington University CurrentSince Oct 2, 2023 Accepting new patients

Locations

460 Greenfield Ave
Ste 3
Hanford, CA 93230
Phone (559) 584-5770

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

11560 Olive Blvd
Saint Louis, MO 63141
Phone (314) 892-8352

4921 Parkview Pl
Ste 5A
Saint Louis, MO 63110
Phone (314) 362-4211

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAFCBA/Endpoint/HAFCBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1417459694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "STE 5A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-747-5900",
            "fax_number": "314-747-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "STE 5A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-747-5900",
            "fax_number": "314-747-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRETT",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2020022388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4921 Parkview Pl",
            "address_2": "Ste 5A",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.