Active NPI
Adriana M D'Amelio, ARNP
- Women's Health Nurse Practitioner
- Olympia, WA
National Provider Identifier
1710642822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP61196365
- Practice address
- 4709 76TH Ave NE
Olympia, WA 98516-9573 - Phone
- (808) 321-7972
- NPI assigned
- Nov 3, 2021
- Last updated
- Nov 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP61196365 | WA | |
| Women's Health Nurse Practitioner | 363LW0102X | AP61196365 | WA | Primary |
Addresses
Primary practice location
4709 76TH Ave NE
Olympia, WA 98516-9573
Mailing address
3025 Limited LN NW # 100
Olympia, WA 98502-2613
Phone (360) 350-5321
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61196365 | WA | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635897600000",
"number": "1710642822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 LIMITED LN NW # 100",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985022613",
"telephone_number": "360-350-5321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 76TH AVE NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985169573",
"telephone_number": "808-321-7972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AMELIO",
"first_name": "ADRIANA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP61196365",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP61196365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.