Amanda Keil, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277257 Issued in AZ

Practice address

12010 S Warner Elliot Loop Ste 1
Phoenix, AZ 85044-2731

Phone

(490) 961-2366

NPI assigned

Jun 29, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Keil Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Exceptional Physicians Group Arizona PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Maricopa, AZ
  • NPI 1447910229
  Medicare reassignment NPD
• Exceptional Physicians Group Bullhead City Hospital PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bullhead City, AZ
  • NPI 1518732023
  Medicare reassignment NPD
• Exceptional Physicians Group Yuma Hospital PLLC

  • Emergency Medicine Physician
  • Yuma, AZ
  • NPI 1235857699
  Medicare reassignment NPD
• Constitutional Health LLC

  • Family Nurse Practitioner
  • Gilbert, AZ
  • NPI 1134816853
  NPD Authorized official
• Exceptional Health Care Bullhead City LLC

  • Special Hospital
  • Bullhead City, AZ
  • NPI 1750092110
  NPD (past)

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1851023691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18829 E INDIANA AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424554",
            "telephone_number": "480-628-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12010 S WARNER ELLIOT LOOP STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850442731",
            "telephone_number": "490-961-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "277257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KEIL",
            "credential": "AMANDA SARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Emry Michelle Kegley, PA-C
• Lauren Kehoe
• Allysa Kehring, MD
• Jennifer Kehrle, LMFT
• Richard George Keightley, M.D.
• Jeffrey J Keil, PA-C
• Kelsey Keil, SLP
• Jenna Lee Keim
• Krista Kaye Keiper
• Jenna Elaine Keister, PHARM.D.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.