Amanda Paige Gunn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

267924 Issued in AZ

Practice address

13771 N Fountain Hills Blvd
Fountain Hills, AZ 85268-3762

Phone

(888) 662-3376

NPI assigned

Oct 31, 2017

Reactivated

Jul 18, 2023

Last updated

Jul 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Wound Solutions, PLLCGroup PAC ID 5991192874, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Az Wound Solutions, PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Peoria, AZ
  • NPI 1447909171
  Medicare reassignment Care Compare group NPD
• Advanced Wound Care of Arizona PLLC

  • Nurse Practitioner
  • Prescott, AZ
  • NPI 1720839665
  Medicare reassignment NPD

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1700398716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E MAYO BLVD APT 4412",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850545633",
            "telephone_number": "847-471-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13771 N FOUNTAIN HILLS BLVD",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683762",
            "telephone_number": "888-662-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN",
        "first_name": "AMANDA",
        "middle_name": "PAIGE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "deactivation_date": "2023-06-28",
        "reactivation_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267924",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "041.458754",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kasey Ann Greff, M.S. SLP
• Gregnell LTD (Comfort Keepers)
• Samantha L Grey
• Grow Healthcare Group Arizona, PC (Grow Therapy)
• Tyler Guerrero, PHARM.D
• Rajesh K Gupta
• Velina Guy
• Jean Haga
• Kathleen Dee Hagen, P.T.
• Kevin Haglund

• Family Nurse Practitioner in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.