Active NPI
Amy Baudistel Vancamp, OTR/L
- Pediatric Occupational Therapist
- Asheville, NC
National Provider Identifier
1871548735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 5340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141HN | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 7301886 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5340 | NC | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.