Individual provider Active NPI

Amber Hughes

  • Durable Medical Equipment & Medical Supplies
  • Kennewick, WA
National Provider Identifier
1790359396
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Practice address
5215 W Clearwater Ave Ste 106
Kennewick, WA 99336-1900
Phone
(509) 378-4323
Fax
(509) 547-2808
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5215 W Clearwater Ave Ste 106
Kennewick, WA 99336-1900

Mailing address

5215 W Clearwater Ave Ste 106
Kennewick, WA 99336-1900
Phone (509) 378-4323

Other identifiers 1

IdentifierTypeStateIssuer
1790359396OtherWANPI

Other names 1

  • Amber Kay Wallace Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Discreet Supplies LLC Durable Medical Equipment & Medical Supplies CurrentSince Jun 27, 2021 Accepting new patients

Locations

5215 W Clearwater Ave
Ste 106
Kennewick, WA 99336
Phone (509) 378-4323

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1790359396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 W CLEARWATER AVE STE 106",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361900",
            "telephone_number": "509-378-4323",
            "fax_number": "509-547-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 W CLEARWATER AVE STE 106",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361900",
            "telephone_number": "509-378-4323",
            "fax_number": "509-547-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790359396",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WALLACE",
            "middle_name": "KAY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.