Individual provider Active NPI

Amy C Huelle, MPH, RD, LD, CDE

  • Registered Dietitian
  • Kansas City, KS
National Provider Identifier
1891701561
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
36 Issued in NH
Practice address
3901 Rainbow Blvd.
M.S. 2024
Kansas City, KS 66160
Phone
(913) 588-6022
Fax
(913) 588-4060
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 36 NH Primary

Addresses

Primary practice location

3901 Rainbow Blvd.
M.S. 2024
Kansas City, KS 66160

Mailing address

12 Hospital Dr
Ste B
York, ME 03909-1030
Phone (913) 588-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190412000032 ME Practitioner - Registered Dietitian Or Nutrition Professional 2961446695 Reassigns benefits to 1 organization
I20220502001369 NY Practitioner - Registered Dietitian Or Nutrition Professional 2961446695 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
769KSMDMarriage & Family Therapist
36NHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Apr 22, 2019 Accepting new patients
Maimonides Medical Center - Division of Endocrinology FPP CurrentSince Jan 25, 2022 Accepting new patients
Maimonides Faculty Practice Plan CurrentSince Jan 25, 2022 Accepting new patients

Locations

12 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-3001

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: amy.huelle.p1@direct.mmc.nextgenshare.com

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1891701561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 HOSPITAL DR",
            "address_2": "STE B",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091030",
            "telephone_number": "913-588-6022",
            "fax_number": "913-588-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD.",
            "address_2": "M.S. 2024",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66160",
            "telephone_number": "913-588-6022",
            "fax_number": "913-588-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUELLE",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "MPH, RD, LD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NH",
            "license": "36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.