Individual provider Active NPI

Amanda S White, ARNP

  • Nurse Practitioner
  • West Des Moines, IA
National Provider Identifier
1659657906
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A108848 Issued in IA
Practice address
5880 University Ave Ste 112
West Des Moines, IA 50266-8209
Phone
(515) 633-3653
Fax
(515) 280-4630
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A108848 IA Primary

Addresses

Primary practice location

5880 University Ave Ste 112
West Des Moines, IA 50266-8209

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

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
I20120118000855 IA Practitioner - Nurse Practitioner 9436326204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince May 2, 2016 Accepting new patients
Catholic Health Initiatives-Iowa Corp Nurse Practitioner CurrentSince May 2, 2016 Accepting new patients
Iowa Heart Center PC Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

300 N 4th Ave E
Ste 160
Newton, IA 50208
Phone (641) 792-6676

5880 University Ave
Ste 112
West Des Moines, IA 50266
Phone (515) 633-3600

5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600

Interoperability endpoints

  • Direct secure messaging: amanda.white.p1@direct.iowaheart.nextgenshare.com
  • Direct secure messaging: awhite3961024@direct.trinity-health.org

Organizations & group practices 3

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 6

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": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1659657906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE STE 112",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3653",
            "fax_number": "515-280-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "AMANDA",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A108848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.