Active NPI
Amy K. Holweger, FNP
- Family Nurse Practitioner
- Klamath Falls, OR
National Provider Identifier
1902870835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 097006702N1
- Practice address
- 2218 Shallock Ave
Klamath Falls, OR 97601-4290 - Phone
- (541) 882-3818
- Fax
- (541) 882-9800
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 097006702N1 | OR | Primary |
Addresses
Primary practice location
2218 Shallock Ave
Klamath Falls, OR 97601-4290
Mailing address
2218 Shallock Ave
Klamath Falls, OR 97601-4290
Phone (541) 882-3818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300000001SVE6EAC | Other | OR | EHR CERTIFICATION NUMBER |
| 097006702N1 | Other | OR | LICENSE |
Other names 1
- Mrs. Amy K Clegg
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097006702N1 | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katherine L. Hilsinger MD PC | Past | Accepting new patients | |
| Center for Vaginal Excellence | Past | Accepting new patients | |
| Klamath Walk in Care Center Inc. | Past | Accepting new patients |
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.
-
- Non-Surgical Family Planning Clinic/Center
- Klamath Falls, OR
- NPI 1780001578
-
- Obstetrics Physician
- Klamath Falls, OR
- NPI 1093834392
-
- Urgent Care Clinic/Center
- Klamath Falls, OR
- NPI 1346218252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1902870835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2218 SHALLOCK AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976014290",
"telephone_number": "541-882-3818",
"fax_number": "541-882-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2218 SHALLOCK AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976014290",
"telephone_number": "541-882-3818",
"fax_number": "541-882-9800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLWEGER",
"first_name": "AMY",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "097006702N1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EHR CERTIFICATION NUMBER",
"identifier": "300000001SVE6EAC",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "097006702N1",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CLEGG",
"middle_name": "K",
"prefix": "MRS.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.