Individual provider Active NPI

Amanda Marie Callahan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1770196271
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246727 Issued in AZ
Practice address
17500 N Perimeter Dr
Scottsdale, AZ 85255-7800
Phone
(480) 535-6300
Fax
(480) 535-6300
NPI assigned
Aug 25, 2020
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 246727 AZ Primary

Addresses

Primary practice location

17500 N Perimeter Dr
Scottsdale, AZ 85255-7800

Mailing address

17500 N Perimeter Dr
Scottsdale, AZ 85255-7800
Phone (480) 535-6300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210819000860 AZ Practitioner - Nurse Practitioner 4789089343 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246727AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Pain Center of Arizona, PC CurrentSince Sep 9, 2022 Accepting new patients
Freedom Pain Network LLC CurrentSince Feb 1, 2025 Accepting new patients
DCX2, P.C. CurrentSince Mar 27, 2023 Accepting new patients
Freedom Behavioral LLC CurrentSince Aug 1, 2025 Accepting new patients
Freedom Neurology LLC CurrentSince May 1, 2025 Accepting new patients
Pain Center of Arizona PC CurrentSince Sep 9, 2022 Accepting new patients
Freedom Primary Care LLC CurrentSince Feb 25, 2025 Accepting new patients

Locations

825 S Watson Rd
Ste 107
Buckeye, AZ 85326
Phone (602) 492-9919

895 S Dobson Rd
Ste 1
Chandler, AZ 85224
Phone (480) 899-3737

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 656-4220

5281 N 99th Ave
Ste 100
Glendale, AZ 85305
Phone (623) 241-6152

9401 W Thunderbird Rd
Ste 180
Peoria, AZ 85381
Phone (623) 241-6160

20333 N 19th Ave
Ste 100
Phoenix, AZ 85027

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

9250 W Thomas Rd
Ste 200
Phoenix, AZ 85037

3110 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (928) 237-9312

21321 E Ocotillo Rd
Ste 126
Queen Creek, AZ 85142
Phone (480) 245-6288

17500 N Perimeter Dr
Scottsdale, AZ 85255
Phone (480) 535-6300

17500 N Perimeter Dr
Ste 100
Scottsdale, AZ 85255

7908 E Chaparral Rd
Ste 109
Scottsdale, AZ 85250
Phone (480) 994-8900

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1770196271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300",
            "fax_number": "480-535-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 N PERIMETER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557800",
            "telephone_number": "480-535-6300",
            "fax_number": "480-535-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.