Amanda Ervin, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

201705752RN Issued in OR

Practice address

1485 NW Penny LN
Albany, OR 97321-1170

Phone

(605) 659-3272

NPI assigned

Jan 6, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1669011706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 NW PENNY LN",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 NW PENNY LN",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973211170",
            "telephone_number": "605-659-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "AMANDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": "OR",
            "license": "201705752RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie B J Emery, MD
• Amanda Emmert
• Stephanie Nicole Emmert, O.D.
• Jeffrey Lee Ericks, RN
• Reuben Chester Ernst, DPT
• Crystal Marie Eshelman
• Yesenia Espaillat
• Estes Enterprizes, LLC
• Michael K Estes, O.D.
• Edwar Jose Fernando Estupinian

• Community Health Registered Nurse in Albany, OR
• Providers in Albany, OR by specialty
• Community Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.