Active NPI
Amber Marie Prohaska, FNP-C
- Family Medicine Physician
- Blue Springs, MO
National Provider Identifier
1639594880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014005154
- Practice address
- 206 NW Mock Ave
Blue Springs, MO 64014-2507 - Phone
- (816) 229-3265
- NPI assigned
- Feb 25, 2014
- 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 Medicine Physician | 207Q00000X | 2014005154 | MO | Primary |
Addresses
Primary practice location
206 NW Mock Ave
Blue Springs, MO 64014-2507
Mailing address
206 NW Mock Ave
Blue Springs, MO 64014-2507
Phone (816) 229-3265
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393286400000",
"number": "1639594880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142507",
"telephone_number": "816-229-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 NW MOCK AVE",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640142507",
"telephone_number": "816-229-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROHASKA",
"first_name": "AMBER",
"middle_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2014005154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.