Individual provider Active NPI

Amanda Michelle Roy, WHNP-BC

  • Women's Health Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1548987696
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
0998127 Issued in CO
Practice address
10465 Park Meadows Dr Ste 104
Lone Tree, CO 80124-5320
Phone
(303) 799-7903
NPI assigned
Oct 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 0998127 CO Primary

Addresses

Primary practice location

10465 Park Meadows Dr Ste 104
Lone Tree, CO 80124-5320

Mailing address

10465 Park Meadows Dr Ste 104
Lone Tree, CO 80124-5320
Phone (303) 799-7903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20221201000441 CO Practitioner - Nurse Practitioner 1153799754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB-GYN AffiliatesGroup PAC ID 6608765060, 66 clinicians

Practice addresses (Care Compare)

10465 Park Meadows Dr
Suite 104
Littleton, CO 80124-5320
Phone (303) 799-7903

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0998127COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates CurrentSince Oct 19, 2022 Accepting new patients

Locations

4350 Limelight Ave
Unit 205
Castle Rock, CO 80109
Phone (303) 799-7903

7200 S Alton Way
Ste A100
Centennial, CO 80112
Phone (303) 730-2229

10465 Park Meadows Dr
Ste 104
Lone Tree, CO 80124
Phone (303) 649-3380

Interoperability endpoints

  • Direct secure messaging: amanda.roy.1@8558.direct.athenahealth.com

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": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1548987696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR STE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245320",
            "telephone_number": "303-799-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10465 PARK MEADOWS DR STE 104",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245320",
            "telephone_number": "303-799-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "0998127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.