Individual provider Active NPI

Amanda Nicole Meitz, ANP-BC

  • Adult Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1558799742
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2013037711 Issued in MO
Practice address
9584 Stoneglen Dr
Colorado Springs, CO 80920-3003
Phone
(636) 226-8333
NPI assigned
Oct 24, 2013
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2013037711 MO Primary

Addresses

Primary practice location

9584 Stoneglen Dr
Colorado Springs, CO 80920-3003

Mailing address

9584 Stoneglen Dr
Colorado Springs, CO 80920-3003
Phone (636) 226-8333

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
I20200601000046 CO Practitioner - Nurse Practitioner 1759514847

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013037711MOMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1558799742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9584 STONEGLEN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203003",
            "telephone_number": "636-226-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9584 STONEGLEN DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203003",
            "telephone_number": "636-226-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEITZ",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2013037711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.