Active NPI
Amanda Stamm, PTA
- Skilled Nursing Facility
- Lincoln, NE
National Provider Identifier
1477965234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1187
- Practice address
- 6040 S 58TH St Ste C
Lincoln, NE 68516-3695 - Phone
- (402) 421-1142
- Fax
- (402) 421-1167
- NPI assigned
- May 28, 2014
- 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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1187 | NE | Primary |
Addresses
Primary practice location
6040 S 58TH St Ste C
Lincoln, NE 68516-3695
Mailing address
6040 S 58TH St Ste C
Lincoln, NE 68516-3695
Phone (402) 421-1142
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1187 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1477965234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 S 58TH ST STE C",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163695",
"telephone_number": "402-421-1142",
"fax_number": "402-421-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 S 58TH ST STE C",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685163695",
"telephone_number": "402-421-1142",
"fax_number": "402-421-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAMM",
"first_name": "AMANDA",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NE",
"license": "1187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.