Individual provider Active NPI

Amy Marie Epp, FNP-C

  • Family Nurse Practitioner
  • Oak Harbor, WA
National Provider Identifier
1669986550
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60811339 Issued in WA
Practice address
1051 NE 7TH Ave
Oak Harbor, WA 98277-2600
Phone
(360) 682-5299
Fax
(360) 682-5645
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN01715 RI
Family Nurse Practitioner 363LF0000X 60811339 WA Primary

Addresses

Primary practice location

1051 NE 7TH Ave
Oak Harbor, WA 98277-2600

Mailing address

557 Fort Ebey Rd
Coupeville, WA 98239-9760
Phone (805) 407-9636

Other practice location 1

390 NE Midway Blvd Ste B103
Oak Harbor, WA 98277-2645
Phone (360) 682-6167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180222002782 WA Practitioner - Nurse Practitioner 4688935224

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Behavioral Health PLLCGroup PAC ID 3173098902, 2 clinicians

Practice addresses (Care Compare)

390 NE Midway Blvd
Suite B103
Oak Harbor, WA 98277-2645
Phone (360) 682-6167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN01715RIMDFamily Nurse Practitioner
60811339WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health PLLC CurrentSince Jul 1, 2026 Accepting new patients

Locations

390 NE Midway Blvd
Ste B103
Oak Harbor, WA 98277
Phone 3606826167 ext. 75484

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": "1512000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1669986550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 FORT EBEY RD",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982399760",
            "telephone_number": "805-407-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 NE 7TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772600",
            "telephone_number": "360-682-5299",
            "fax_number": "360-682-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 NE Midway Blvd Ste B103",
            "address_purpose": "LOCATION",
            "city": "Oak Harbor",
            "state": "WA",
            "postal_code": "982772645",
            "country_code": "US",
            "telephone_number": "360-682-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EPP",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN01715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60811339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.