Individual provider Active NPI

Amy Baudistel Vancamp, OTR/L

  • Pediatric Occupational Therapist
  • Asheville, NC
National Provider Identifier
1871548735
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5340 Issued in NC
Practice address
1063 Haywood Rd
Asheville, NC 28806-2650
Phone
(828) 285-8814
Fax
(828) 285-9144
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5340 NC Primary

Addresses

Primary practice location

1063 Haywood Rd
Asheville, NC 28806-2650

Mailing address

49 Johnston Blvd
Asheville, NC 28806-1863
Phone (828) 545-3556

Other identifiers 2

IdentifierTypeStateIssuer
141HNOtherNCBLUE CROSS BLUE SHIELD NC
7301886MedicaidNC

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
5340NCMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet and Company Pediatrics Past Accepting new patients

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1871548735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 JOHNSTON BLVD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288061863",
            "telephone_number": "828-545-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 HAYWOOD RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062650",
            "telephone_number": "828-285-8814",
            "fax_number": "828-285-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCAMP",
        "first_name": "AMY",
        "middle_name": "BAUDISTEL",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "5340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "141HN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301886",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.