Individual provider Active NPI

Amanda Birkofer

  • Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1649834847
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022883 Issued in OH
Practice address
4380 Glendale Milford Rd
Blue Ash, OH 45242-3706
Phone
(513) 793-5070
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.395978 OH
Nurse Practitioner 363L00000X APRN.CNP.022883 OH Primary

Addresses

Primary practice location

4380 Glendale Milford Rd
Blue Ash, OH 45242-3706

Mailing address

1241 Beechwood PL
Amelia, OH 45102-2643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190626000630 OH Practitioner - Nurse Practitioner 1456685494 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.395978OHMDRegistered Nurse
APRN.CNP.022883OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Cincinnati CurrentSince May 18, 2019 Accepting new patients

Locations

4380 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 793-5070

10810 E 45th St
Ste 300
Tulsa, OK 74146

Organizations & group practices 1

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1649834847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 BEECHWOOD PL",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451022643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 GLENDALE MILFORD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423706",
            "telephone_number": "513-793-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKOFER",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.395978",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.