Active NPI
Amanda Jo Lamb
- Family Nurse Practitioner
- Fayetteville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A004284
- Practice address
- 2630 E Citizens Dr
Suite 3
Fayetteville, AR 72703-4797 - Phone
- (479) 527-9966
- Fax
- (479) 527-9677
- NPI assigned
- Jan 16, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A004284 | AR | Primary |
Addresses
Primary practice location
2630 E Citizens Dr
Suite 3
Fayetteville, AR 72703-4797
Mailing address
2630 E Citizens Dr
Suite 3
Fayetteville, AR 72703-4797
Phone (479) 527-9966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients |
Locations
609 SW 8th St
Ste 600
Bentonville, AR 72712
Phone (479) 286-1133
124 W Capitol Ave
Ste 1900
Little Rock, AR 72201
Phone (479) 336-8422
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
10601 S Western Ave
Ste 100
Oklahoma City, OK 73170
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 3
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": "1421366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1609265420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2630 E CITIZENS DR",
"address_2": "SUITE 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034797",
"telephone_number": "479-527-9966",
"fax_number": "479-527-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2630 E CITIZENS DR",
"address_2": "SUITE 3",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034797",
"telephone_number": "479-527-9966",
"fax_number": "479-527-9677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMB",
"first_name": "AMANDA",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-16",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A004284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.