Active NPI
Amy Christine Fox, P.A.
- Physician Assistant
- Indianapolis, IN
National Provider Identifier
1508120148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10000273A
- Practice address
- 7575 E 30TH St
Indianapolis, IN 46219-1112 - Phone
- (317) 803-2515
- NPI assigned
- Jun 28, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10000273A | IN | Primary |
Addresses
Primary practice location
7575 E 30TH St
Indianapolis, IN 46219-1112
Mailing address
7575 E 30TH St
Indianapolis, IN 46219-1112
Phone (317) 803-2515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000273A | Other | IN | INDIANA PROFESSIONAL LICENSING AGENCY |
| 1033761 | Other | NCCPA |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10000273A | IN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440201600000",
"number": "1508120148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 E 30TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191112",
"telephone_number": "317-803-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 E 30TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462191112",
"telephone_number": "317-803-2515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "AMY",
"middle_name": "CHRISTINE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2015-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10000273A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA PROFESSIONAL LICENSING AGENCY",
"identifier": "10000273A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1033761",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.