Individual provider Active NPI

Amy Lynn Litvin, MS, RN, GNP-BC, CWCN

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1841578127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20994 Issued in CA
Practice address
225 30TH St - on Lok Lifeways
2ND Floor
San Francisco, CA 94131
Phone
(415) 550-2232
Fax
(415) 642-1135
NPI assigned
Aug 3, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20994 CA Primary
Gerontology Nurse Practitioner 363LG0600X 20994 CA
Registered Nurse 163W00000X 689849 CA

Addresses

Primary practice location

225 30TH St - on Lok Lifeways
2ND Floor
San Francisco, CA 94131

Mailing address

225 30TH St - on Lok Lifeways
2ND Floor
San Francisco, CA 94131
Phone (415) 550-2232

Other names 1

  • Ms. Amy Lynn Kuo Former name

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
I20150817002547 CA Order and Referring Only - Nurse Practitioner 2163737339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
689849CAMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: akuo323644@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841578127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 30TH ST - ON LOK LIFEWAYS",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94131",
            "telephone_number": "415-550-2232",
            "fax_number": "415-642-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 30TH ST - ON LOK LIFEWAYS",
            "address_2": "2ND FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94131",
            "telephone_number": "415-550-2232",
            "fax_number": "415-642-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITVIN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, RN, GNP-BC, CWCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20994",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "20994",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "689849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KUO",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "MS, RN, GNP-BC, CWCN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.