Individual provider Active NPI

Amy Marie Henry, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Dubuque, IA
National Provider Identifier
1609653328
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
A176363 Issued in IA
Practice address
1500 Delhi St Ste 3100
Dubuque, IA 52001-6361
Phone
(563) 557-5959
Fax
(563) 557-5950
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 110230 IA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X A176363 IA Primary

Addresses

Primary practice location

1500 Delhi St Ste 3100
Dubuque, IA 52001-6361

Mailing address

1500 Delhi St Ste 3100
Dubuque, IA 52001-6361
Phone (563) 557-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230920002630 IA Practitioner - Nurse Practitioner 8426402744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubuque Obstetrics and Gynecology, P.C.Group PAC ID 2769451525, 7 clinicians

Practice addresses (Care Compare)

1500 Delhi St
Suite 3100
Dubuque, IA 52001-6361
Phone (563) 557-5959

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110230IAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Dubuque Obstetrics & Gynecology, P.C. CurrentSince Oct 9, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients

Locations

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

1500 Delhi St
Ste 3100
Dubuque, IA 52001
Phone (563) 557-5959

Interoperability endpoints

  • Direct secure messaging: ahenry1056473@direct.unitypoint.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1700

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1609653328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 3100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016361",
            "telephone_number": "563-557-5959",
            "fax_number": "563-557-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 3100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016361",
            "telephone_number": "563-557-5959",
            "fax_number": "563-557-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IA",
            "license": "110230",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "IA",
            "license": "A176363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.