Individual provider Active NPI

Amanda Renee McWherter

  • Home Health Clinical Nurse Specialist
  • Oak Harbor, WA
National Provider Identifier
1871361857
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
LP60243558 Issued in WA
Practice address
4953 Puget Sound LN
Oak Harbor, WA 98277-9766
Phone
(360) 988-1406
NPI assigned
Dec 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse Specialist 364SH0200X LP60243558 WA Primary

Addresses

Primary practice location

4953 Puget Sound LN
Oak Harbor, WA 98277-9766

Mailing address

4953 Puget Sound LN
Oak Harbor, WA 98277-9766
Phone (360) 988-1406

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
LP60243558WAMDHome Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1871361857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4953 PUGET SOUND LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982779766",
            "telephone_number": "360-988-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 PUGET SOUND LN",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982779766",
            "telephone_number": "360-988-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWHERTER",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "WA",
            "license": "LP60243558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.