Individual provider Active NPI

Amanda D. Orme

  • Pediatric Nurse Practitioner
  • Draper, UT
National Provider Identifier
1497930853
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
3196754405 Issued in UT
Practice address
114 E 12450 S
Suite 100
Draper, UT 84020-8058
Phone
(801) 523-3001
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 3196754405 UT Primary

Addresses

Primary practice location

114 E 12450 S
Suite 100
Draper, UT 84020-8058

Mailing address

114 E 12450 S
Suite 100
Draper, UT 84020-8058
Phone (801) 523-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170214001764 UT Order and Referring Only - Nurse Practitioner 4981987187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wasatch Pediatrics, Inc Past Accepting new patients

Organizations & group practices 1

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1497930853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 12450 S",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208058",
            "telephone_number": "801-523-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 12450 S",
            "address_2": "SUITE 100",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208058",
            "telephone_number": "801-523-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORME",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "3196754405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.