Individual provider Active NPI

Amie Katherine Conley-Abston, FNP-BC

  • School Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1710579644
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
License
AC004614 Issued in MD
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

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AC004614MDMDSchool 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.

Verify at the official NPI Registry.