Individual provider Active NPI

Amy Lynn Gnipp, FNP-C

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1902582125
Registry record updated Jun 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
GNIP-SF7RJ Issued in NC
Practice address
5605 Garrett Lea Parke
Wilmington, NC 28412-7959
Phone
(202) 236-5200
NPI assigned
Jun 22, 2023
Last updated
Jun 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X GNIP-SF7RJ NC Primary

Addresses

Primary practice location

5605 Garrett Lea Parke
Wilmington, NC 28412-7959

Mailing address

5605 Garrett Lea Parke
Wilmington, NC 28412-7959
Phone (202) 236-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1907 S 17TH St
Suite 1
Wilmington, NC 28401-6680

2050 Mercantile Dr NE
Leland, NC 28451-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GNIP-SF7RJNCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687564800000",
    "number": "1902582125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 GARRETT LEA PARKE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127959",
            "telephone_number": "202-236-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 GARRETT LEA PARKE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127959",
            "telephone_number": "202-236-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNIPP",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-24",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "GNIP-SF7RJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.