Active NPI
Amie Katherine Conley-Abston, FNP-BC
- School Nurse Practitioner
- Columbia, MD
National Provider Identifier
1710579644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Nurse Practitioner
- License
- AC004614
- Practice address
- 8930 Stanford Blvd
Columbia, MD 21045-5805 - Phone
- (410) 313-6359
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Nurse Practitioner | 363LS0200X | AC004614 | MD | Primary |
Addresses
Primary practice location
8930 Stanford Blvd
Columbia, MD 21045-5805
Mailing address
110 Lejeune Way
Annapolis, MD 21401-8819
Phone (304) 531-3700
Other practice location 1
2505 Santa Monica Blvd
Santa Monica, CA 90404-2011
Phone (310) 828-6456
Other practice location 2
12304 Santa Monica Blvd
West Los Angeles, CA 90025-2551
Phone (310) 820-8084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC004614 | MD | MD | School Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701993600000",
"number": "1710579644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LEJEUNE WAY",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018819",
"telephone_number": "304-531-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8930 STANFORD BLVD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210455805",
"telephone_number": "410-313-6359"
}
],
"practiceLocations": [
{
"address_1": "2505 Santa Monica Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904042011",
"country_code": "US",
"telephone_number": "310-828-6456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12304 Santa Monica Blvd",
"address_purpose": "LOCATION",
"city": "West Los Angeles",
"state": "CA",
"postal_code": "900252551",
"country_code": "US",
"telephone_number": "310-820-8084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY-ABSTON",
"first_name": "AMIE",
"middle_name": "KATHERINE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2023-12-08",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LS0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, School",
"state": "MD",
"license": "AC004614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.