Individual provider Active NPI

Amy Mulford

  • Licensed Practical Nurse
  • Norfolk, NE
National Provider Identifier
1477409555
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
14980 Issued in NE
Practice address
1800 W Pasewalk Ave
Norfolk, NE 68701-5656
Phone
(402) 371-0220
Fax
(402) 644-4593
NPI assigned
Mar 10, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 14980 NE Primary

Addresses

Primary practice location

1800 W Pasewalk Ave
Norfolk, NE 68701-5656

Mailing address

PO Box 1392
Norfolk, NE 68702-1392

Other practice location 1

2718 13th St
Columbus, NE 68601-4917
Phone (402) 371-0220

Other practice location 2

130 E Walnut St
West Point, NE 68788-1424
Phone (402) 371-0220

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

State licenses

LicenseStateTypeSpecialty
14980NEMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Well NE Past Accepting new patients
The Well NE Past Accepting new patients

Organizations & group practices 2

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": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1477409555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1392",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687021392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W PASEWALK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015656",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2718 13th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686014917",
            "country_code": "US",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "NE",
            "postal_code": "687881424",
            "country_code": "US",
            "telephone_number": "402-371-0220",
            "fax_number": "402-644-4593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULFORD",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "14980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.