Individual provider Active NPI

Amy Lynn Stoll

  • Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1437673878
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0993635 Issued in CO
Practice address
801 W Mineral Ave
Littleton, CO 80120-4547
Phone
(303) 815-5133
Fax
(303) 942-4122
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1652818 CO
Nurse Practitioner 363L00000X 0107606 CO
Nurse Practitioner 363L00000X 0993635 CO Primary

Addresses

Primary practice location

801 W Mineral Ave
Littleton, CO 80120-4547

Mailing address

801 W Mineral Ave
Littleton, CO 80120-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20171003003956 CO Practitioner - Nurse Practitioner 2860767738 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1652818COMDRegistered Nurse
0107606COMDNurse Practitioner
0993635COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
All Seasons Health CurrentSince Nov 1, 2023 Accepting new patients

Locations

801 W Mineral Ave
Ste 204
Littleton, CO 80120
Phone (303) 815-5133

Organizations & group practices 1

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": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1437673878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MINERAL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MINERAL AVE",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801204547",
            "telephone_number": "303-815-5133",
            "fax_number": "303-942-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLL",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1652818",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0107606",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0993635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.