Individual provider Active NPI

Amy Le, FNP

  • Family Nurse Practitioner
  • Isla Vista, CA
National Provider Identifier
1740980200
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024367 Issued in CA
Practice address
970 Embarcadero del Mar
Isla Vista, CA 93117-4869
Phone
(805) 968-3943
Fax
(805) 968-1511
NPI assigned
Mar 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024367 CA Primary

Addresses

Primary practice location

970 Embarcadero del Mar
Isla Vista, CA 93117-4869

Mailing address

414 E Cota St FL 1
Santa Barbara, CA 93101-1624
Phone (805) 617-7857

Other practice location 1

628 W Micheltorena St
Santa Barbara, CA 93101-4131
Phone (805) 963-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240405000913 CA Practitioner - Nurse Practitioner 7012355316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

2415 E Main St
Ventura, CA 93003-2603
Phone (805) 454-7133

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024367CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara Neighborhood Clinics CurrentSince Mar 1, 2024 Accepting new patients
Bass Medical Group CurrentSince Aug 5, 2025 Accepting new patients
Santa Barbara Neighborhood Clinics CurrentSince Mar 1, 2024 Accepting new patients
Santa Barbara Neighborhood Clinics Current Accepting new patients
Bass Medical Group Family Medicine CurrentSince Aug 5, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients
Santa Barbara Neighborhood Clinics Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

970 Embarcadero del Mar
Isla Vista, CA 93117
Phone (805) 968-1511

414 E Cota St
Fl 1
Santa Barbara, CA 93101
Phone (805) 617-7863

628 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 963-1546

2415 E Main St
Ventura, CA 93003
Phone (805) 454-7133

Interoperability endpoints

  • Direct secure messaging: amy.le.1@25176.direct.athenahealth.com

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1740980200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E COTA ST FL 1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011624",
            "telephone_number": "805-617-7857",
            "fax_number": "805-963-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 EMBARCADERO DEL MAR",
            "city": "ISLA VISTA",
            "state": "CA",
            "postal_code": "931174869",
            "telephone_number": "805-968-3943",
            "fax_number": "805-968-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 W Micheltorena St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931014131",
            "country_code": "US",
            "telephone_number": "805-963-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "AMY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isla Vista, CA

Sources for this page

Verify at the official NPI Registry.