Amanda R Weyrum

Primary specialty

Social WorkerTaxonomy code 104100000X

License

7653883 Issued in AZ

Practice address

11666 N 28TH Dr
Unit 165
Phoenix, AZ 85029-5616

Phone

(602) 279-1427

Fax

(602) 279-1431

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1710413604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16906",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850116906",
            "telephone_number": "602-279-1427",
            "fax_number": "602-279-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11666 N 28TH DR",
            "address_2": "UNIT 165",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295616",
            "telephone_number": "602-279-1427",
            "fax_number": "602-279-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYRUM",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "7653883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCS/OLR LICENSING AUTHORITY",
            "identifier": "7653883",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Weyer, PH.D.
• George Rodney Weyers
• Lillianne Margaret Weyers
• Peter James Weyforth, CRNA
• Jeff Weyrauch, PTA
• Matthew Weyrum
• Cory Robert Whale, D.O.
• Christina Whalen, PHD, BCBA-D
• Marcia Ikert Whalen, RN
• Michelle Whalen, PT, DPT

• Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.