Individual provider Active NPI

Amy Sloan, CPNP

  • Pediatric Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1558070482
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2022039567 Issued in MO
Practice address
2719 E 32ND St
Joplin, MO 64804-3131
Phone
(417) 782-5522
Fax
(417) 782-5866
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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 2022039567 MO Primary

Addresses

Primary practice location

2719 E 32ND St
Joplin, MO 64804-3131

Mailing address

2719 E 32ND St
Joplin, MO 64804-3131
Phone (417) 782-5522

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Athenanet.athenahealth.com Health Information Exchange (HIE)

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022039567MOMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: amy.sloan.1@22042.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1558070482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043131",
            "telephone_number": "417-782-5522",
            "fax_number": "417-782-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 E 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043131",
            "telephone_number": "417-782-5522",
            "fax_number": "417-782-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "AMY",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2022039567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Athenanet.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena One Medical Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2719 E 32nd St",
            "city": "Joplin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "648043131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.