Amy Beth Enderlin

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

License

9403781 Issued in CO

Practice address

343 Sherwood TRL
Breckenridge, CO 80424-8813

Phone

(970) 485-9135

NPI assigned

Aug 15, 2008

Last updated

Aug 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1629224134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 SHERWOOD TRL",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248813",
            "telephone_number": "970-485-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 SHERWOOD TRL",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804248813",
            "telephone_number": "970-485-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDERLIN",
        "first_name": "AMY",
        "middle_name": "BETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "CO",
            "license": "9403781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctx3 PLLC
• Lynne Drakos, DIPLAC, LAC
• Drdental PLLC (Breckenridge Dental Group)
• Eleanor M Duncan, PT, DPT
• William Paul Elsass, M.D.
• Kristin Jennifer Esber
• Eyes on Breckenridge, Inc
• Kimberly Eytel, P.T.
• Robert Rian Faucett, DDS
• Feel Awesomer, LLC

• Medical Technologist in Breckenridge, CO
• Providers in Breckenridge, CO by specialty
• Medical Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.