Active NPI
Amn Healthcare Services Inc.
- Diagnostic Radiology Physician
- Olympia, WA
National Provider Identifier
1710690409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- AMN HEALTHCARE SERVICES INC.
- Practice address
- 700 Lilly Rd NE
Olympia, WA 98506-5115 - Phone
- (734) 837-4310
- NPI assigned
- Dec 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorenzo Wilson
- Title
- X-Ray Technologist
- Phone
- (734) 837-4310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
700 Lilly Rd NE
Olympia, WA 98506-5115
Mailing address
8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672185600000",
"number": "1710690409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 CYPRESS WATERS BLVD STE 300",
"city": "COPPELL",
"state": "TX",
"postal_code": "750194630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LILLY RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985065115",
"telephone_number": "734-837-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMN HEALTHCARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-28",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "LORENZO",
"authorized_official_title_or_position": "X-RAY TECHNOLOGIST",
"authorized_official_telephone_number": "734-837-4310"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"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 Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.