Individual provider Active NPI

Amy Amoss

  • Registered Nurse
  • Mount Morris, MI
National Provider Identifier
1871028050
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4704228801 Issued in MI
Practice address
7075 Birchwood Dr
Mount Morris, MI 48458-8807
Phone
(810) 691-0772
NPI assigned
Apr 26, 2017
Last updated
Apr 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704228801 MI Primary

Addresses

Primary practice location

7075 Birchwood Dr
Mount Morris, MI 48458-8807

Mailing address

7075 Birchwood Dr
Mount Morris, MI 48458-8807
Phone (810) 691-0772

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
4704228801MIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1871028050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 BIRCHWOOD DR",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588807",
            "telephone_number": "810-691-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 BIRCHWOOD DR",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588807",
            "telephone_number": "810-691-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOSS",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704228801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.