Individual provider Active NPI

Amy Marie Saak, FNP-C

  • Family Nurse Practitioner
  • Hillsboro, MO
National Provider Identifier
1447799499
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016040781 Issued in MO
Practice address
802 Mel Carnahan Dr Ste 215
Hillsboro, MO 63050
Phone
(636) 543-2290
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2007005724 MO
Family Nurse Practitioner 363LF0000X 2016040781 MO Primary

Addresses

Primary practice location

802 Mel Carnahan Dr Ste 215
Hillsboro, MO 63050

Mailing address

802 Mel Carnahan Dr Ste 215
Hillsboro, MO 63050-2427
Phone (636) 543-2290

Other practice location 1

1464 Sunburst Dr
O Fallon, MO 63366-6348
Phone (314) 432-9270

Other practice location 2

1464 Sunburst Dr
O Fallon, MO 63366-6348
Phone (314) 432-9270

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

State licenses

LicenseStateTypeSpecialty
2007005724MOMDRegistered Nurse
2016040781MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1447799499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MEL CARNAHAN DR STE 215",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630502427",
            "telephone_number": "636-543-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEL CARNAHAN DR STE 215",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "63050",
            "telephone_number": "636-543-2290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1464 Sunburst Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633666348",
            "country_code": "US",
            "telephone_number": "314-432-9270",
            "fax_number": "314-432-9271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1464 Sunburst Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633666348",
            "country_code": "US",
            "telephone_number": "314-432-9270",
            "fax_number": "314-432-9271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAAK",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2007005724",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016040781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.