Individual provider Active NPI

Amy Lynn Schwentker, RNFA

  • Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1538425269
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2021011348 Issued in MO
Practice address
539 Deer Brook Dr
O Fallon, MO 63366-5051
Phone
(636) 578-6301
NPI assigned
Apr 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 2007019869 MO
Nurse Practitioner 363L00000X 2021011348 MO Primary

Addresses

Primary practice location

539 Deer Brook Dr
O Fallon, MO 63366-5051

Mailing address

3 Forest Brook CT
Saint Peters, MO 63376-1988
Phone (636) 578-6301

Other practice location 1

3 Forest Brook Ct
Suite 104
Saint Peters, MO 63376
Phone (636) 578-6301

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

LicenseStateTypeSpecialty
2007019869MOMDRegistered Nurse First Assistant
2021011348MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A. Imming Enterprises, LLC Registered Nurse First Assistant 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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1538425269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FOREST BROOK CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761988",
            "telephone_number": "636-578-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 DEER BROOK DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633665051",
            "telephone_number": "636-578-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Forest Brook Ct",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "63376",
            "country_code": "US",
            "telephone_number": "636-578-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWENTKER",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-06",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "2007019869",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2021011348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.