Active NPI
Amy Jo McGill, A.R.N.P
- Pediatric Nurse Practitioner
- Dubuque, IA
National Provider Identifier
1588643183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- C064305
- Practice address
- 1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321 - Phone
- (563) 557-5911
- Fax
- (563) 557-5910
- NPI assigned
- Jan 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | C064305 | IA | Primary |
Addresses
Primary practice location
1500 Delhi St
Suite 3500
Dubuque, IA 52001-6321
Mailing address
1500 Delhi St
Suite 3500
Dubuque, IA 52003-6321
Phone (563) 557-5911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67373 | Other | IA | HAWK-I |
| 10091 | Other | IA | MIDLAND'S CHOICE |
| IA0112 | Other | IA | JOHN DEERE HEALTH PLAN |
| 11348 | Other | IA | DEAN HEALTH PLAN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C064305 | IA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1588643183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 DELHI ST",
"address_2": "SUITE 3500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520036321",
"telephone_number": "563-557-5911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 DELHI ST",
"address_2": "SUITE 3500",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016321",
"telephone_number": "563-557-5911",
"fax_number": "563-557-5910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGILL",
"first_name": "AMY",
"middle_name": "JO",
"credential": "A.R.N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-11",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C064305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWK-I",
"identifier": "67373",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLAND'S CHOICE",
"identifier": "10091",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH PLAN",
"identifier": "IA0112",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH PLAN",
"identifier": "11348",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.