Individual provider Active NPI

Amy Louise Stilson

  • Home Health Certified Respiratory Therapist
  • Palm Coast, FL
National Provider Identifier
1760096176
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Certified Respiratory TherapistTaxonomy code 2278H0200X
License
TT9294 Issued in FL
Practice address
186 Bayside Dr
Palm Coast, FL 32137-8879
Phone
(386) 566-6738
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Respiratory Therapist 227800000X TT9294 FL
Home Health Certified Respiratory TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2278H0200X TT9294 FL Primary

Addresses

Primary practice location

186 Bayside Dr
Palm Coast, FL 32137-8879

Mailing address

186 Bayside Dr
Palm Coast, FL 32137-8879

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amystilson@bellsouth.net

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

LicenseStateTypeSpecialty
TT9294FLMDHome Health Certified Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1760096176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 BAYSIDE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 BAYSIDE DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378879",
            "telephone_number": "386-566-6738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILSON",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "FL",
            "license": "TT9294",
            "primary": false
        },
        {
            "code": "2278H0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified, Home Health",
            "state": "FL",
            "license": "TT9294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amystilson@bellsouth.net",
            "affiliation": "N",
            "address_1": "186 Bayside Dr",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321378879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.