Active NPI
Amanda Kurtz
- Primary Care Nurse Practitioner
- Oregon, MO
National Provider Identifier
1487138194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2018034000
- Practice address
- 601 E Nodaway St
Oregon, MO 64473-9602 - Phone
- (816) 676-8148
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 2018034000 | MO | Primary |
Addresses
Primary practice location
601 E Nodaway St
Oregon, MO 64473-9602
Mailing address
30607 Highway 120
Oregon, MO 64473-8329
Other practice location 1
503 Oregon St
Hiawatha, KS 66434-2221
Phone (816) 676-8148
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018034000 | MO | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1487138194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30607 HIGHWAY 120",
"city": "OREGON",
"state": "MO",
"postal_code": "644738329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E NODAWAY ST",
"city": "OREGON",
"state": "MO",
"postal_code": "644739602",
"telephone_number": "816-676-8148"
}
],
"practiceLocations": [
{
"address_1": "503 Oregon St",
"address_purpose": "LOCATION",
"city": "Hiawatha",
"state": "KS",
"postal_code": "664342221",
"country_code": "US",
"telephone_number": "816-676-8148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KURTZ",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2018034000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oregon, MO
- Community Hospital Association
- Community Medical Center, Inc. (Holt County Family Medicine)
- Jeffrey Dean Cotton, M.S.
- County of Holt
- Kathleen M Davis, FNP
- Oregon Healthcare LLC (Oregon Care Center)
- Oregon SNF Operations, LLC (Oregon Care Center)
- Jaden Troy Phelan
- South Holt R1
- Tiffany Care Centers, Inc (Oregon Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.