Amanda Poindexter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0006921 Issued in CO

Practice address

15038 Munich Ave
Parker, CO 80134-5955

Phone

(303) 564-5064

NPI assigned

Jun 25, 2021

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Denver Wellness Associates

  • Child & Adolescent Psychiatry Physician
  • Broomfield, CO
  • NPI 1396577177
  NPD (past)
• Denver Wellness Associates

  • Psychiatry Physician
  • Greenwood Village, CO
  • NPI 1851177588
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1730759499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15038 MUNICH AVE",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345955",
            "telephone_number": "303-564-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15038 MUNICH AVE",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345955",
            "telephone_number": "303-564-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006921",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Rose Plevnia, DDS
• Tiffany Deanne Poch, M.ED, BCBA
• Katarzyna Poczwardowska, LPC
• Podiatry Associates Inc (Parker Foot and Ankle Clinic, PC)
• Lisa Louise Poggas, MS, RD
• Polaris Partners Counseling and Consulting LLC
• Polaris Partners Counseling and Consulting LLC
• Polaris Partners Counseling and Consulting LLC
• Aaron Bryce Pollock, MD
• Kathryn Ann Polovitz, M.D.

• Physician Assistant in Parker, CO
• Providers in Parker, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.