Amy Sarah Thompson, NP-DNP
Individual provider Active NPI Critical Care Neonatal Nurse Practitioner · West Haven, UT
NPI 1659903276 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1659903276
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Neonatal Nurse Practitioner 363LN0005X
- License
- 343058-4405 (UT)
- Practice address
- 2468 W 1675 S
West Haven, UT 84401-6766 - Phone
- (801) 389-7000
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 343058-3102 | UT | MD | Neonatal Intensive Care Registered Nurse |
| 343058-4405 | UT | MD | Critical Care Neonatal Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Intensive Care Registered Nurse | 163WN0002X | 343058-3102 | UT | |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 343058-4405 | UT | Yes |
Addresses
Primary practice location
2468 W 1675 S
West Haven, UT 84401-6766
Mailing address
3876 W 2275 S
Taylor, UT 84401-7142
Phone (801) 389-9700
Other providers in West Haven, UT
- Savannah Salvesen
- Chelseaann Victoria Silverwood
- James Stimpson
- Tyson Stromberg
- Chad Jeffrey Tenney
- Brian W Tolman
- Trinity Longevity LLC
- Utah Home-Based Counseling LLC
- Utah Physical Therapy, Inc.
- Michael Alan Vanderdoes
All providers in West Haven, UT · Critical Care Neonatal Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.