Active NPI
Amber Joelle Dortch
- Family Nurse Practitioner
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704251428
- Practice address
- 195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073 - Phone
- (888) 731-8994
- NPI assigned
- Jul 21, 2021
- 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 | 4704251428 | MI | Primary |
Addresses
Primary practice location
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Mailing address
5326 Willowbend TRL
Kalamazoo, MI 49009-9577
Phone (517) 974-9616
Other practice location 1
139 Centre St
New York, NY 10013-4552
Phone (888) 731-8994
Other practice location 2
222 2nd Ave S Fl 17
Nashville, TN 37201-2366
Phone (888) 731-8994
Other practice location 3
400 Renaissance Ctr Ste 2600
Detroit, MI 48243-1599
Phone (888) 731-8994
Other practice location 4
100 Pearl St Fl 14
Hartford, CT 06103-4500
Phone (888) 731-8994
Other practice location 5
1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (888) 731-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704251428 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitional Care Services, LLC | Current | Accepting new patients | |
| Michigan Primary Care Partners P C | Current | Accepting new patients | |
| Pulse Primary Care PLLC | Current | Accepting new patients | |
| West Michigan Pain Center PC | Current | Accepting new patients | |
| Integrative Womens Care PC | Past | Accepting new patients |
Locations
20095 Gilbert Rd
Ste B
Big Rapids, MI 49307
Phone (231) 408-3208
15400 Michigan Ave
Ste 1
Dearborn, MI 48126
Phone (313) 207-5767
4024 Park East Ct SE
Grand Rapids, MI 49546
Phone (231) 592-3102
5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631
4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631
Interoperability endpoints
- amber.dortch.1@24989.direct.athenahealth.com
- amber.dortch.1@27069.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IAGHDD
- https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Big Rapids, MI
- NPI 1366497380
-
- Gerontology Nurse Practitioner
- Waterford, MI
- NPI 1174976807
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Grand Rapids, MI
- NPI 1447973060
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1225613870
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746662400000",
"number": "1609449289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5326 WILLOWBEND TRL",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490099577",
"telephone_number": "517-974-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 PAGE MILL RD STE 103",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062073",
"telephone_number": "888-731-8994"
}
],
"practiceLocations": [
{
"address_1": "139 Centre St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100134552",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 2nd Ave S Fl 17",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372012366",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Renaissance Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482431599",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Pearl St Fl 14",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061034500",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Gateway Ctr Ste 2600",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071025323",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DORTCH",
"first_name": "AMBER",
"middle_name": "JOELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704251428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.