Active NPI
Amy Lynn Butler, RN
- Registered Nurse
- Philipsburg, PA
National Provider Identifier
1457066722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN670789
- Practice address
- 200 Shady LN Ste 115
Philipsburg, PA 16866-1985 - Phone
- (814) 342-9800
- Fax
- (814) 342-9802
- NPI assigned
- Jan 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN670789 | PA | Primary |
Addresses
Primary practice location
200 Shady LN Ste 115
Philipsburg, PA 16866-1985
Mailing address
200 Shady LN Ste 115
Philipsburg, PA 16866-1985
Other names 1
- Ms. Amy Lynn Pleskonko
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN670789 | PA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1457066722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 SHADY LN STE 115",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SHADY LN STE 115",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661985",
"telephone_number": "814-342-9800",
"fax_number": "814-342-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-20",
"last_updated": "2023-01-20",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN670789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "PLESKONKO",
"middle_name": "LYNN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Philipsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.