Individual provider Active NPI

Amy Berrigan, FNP

  • Nurse Practitioner
  • Murray, UT
National Provider Identifier
1548636848
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9412172-4405 Issued in UT
Practice address
5171 S Cottonwood St
Suite 740
Murray, UT 84107-5704
Phone
(801) 507-9700
Fax
(801) 507-9705
NPI assigned
Aug 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9412172-4405 UT Primary

Addresses

Primary practice location

5171 S Cottonwood St
Suite 740
Murray, UT 84107-5704

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180
Phone (703) 216-9538

Other names 1

  • Amy Colleen Driscoll Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20211014001215 VA Practitioner - Nurse Practitioner 2466757372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Virginia Carenow Urgent Care LLCGroup PAC ID 4284902057, 55 clinicians
Fredericksburg Emergency Medical Alliance, Inc.Group PAC ID 2163412636, 47 clinicians

Practice addresses (Care Compare)

10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Phone (540) 252-3535

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-1167

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fredericksburg Emergency Medical Alliance, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Northern Virginia Carenow Urgent Care, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

10004 Southpoint Pkwy
Fredericksburg, VA 22407
Phone (540) 252-3535

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

6296 Mechanicsville Tpke
Mechanicsville, VA 23111
Phone (804) 459-8300

6100 Harbourside Centre Loop
Midlothian, VA 23112
Phone (804) 639-7555

4600 Puddledock Rd
Prince George, VA 23875
Phone (804) 639-7555

46200 Potomac Run Plz
Sterling, VA 20164
Phone (571) 313-5087

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455321600000",
    "number": "1548636848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180",
            "telephone_number": "703-216-9538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST",
            "address_2": "SUITE 740",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075704",
            "telephone_number": "801-507-9700",
            "fax_number": "801-507-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIGAN",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2016-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "9412172-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DRISCOLL",
            "middle_name": "COLLEEN",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.