Active NPI
Amy Diane Oliver, ARNP
- Nurse Practitioner
- Clive, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- A113580
- Practice address
- 1601 NW 114TH St
Clive, IA 50325-7007 - Phone
- (515) 222-7000
- Fax
- (515) 222-7037
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Pleasant Hill, IA
- NPI 1215953856
-
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1194745752
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150418000005 | IA | Practitioner - Nurse Practitioner | 4789902925 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113580 | IA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics Inc | Current | Accepting new patients |
Locations
2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100
800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100
1601 NW 114th St
Ste 345
Des Moines, IA 50325
Phone (515) 222-7337
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500
1601 NW 114th St
Des Moines, IA 50325
Phone (515) 222-7000
1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000
307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448
5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400
1005 E Hickman Rd
Waukee, IA 50263
Phone (515) 216-2762
555 S 51st St
West Des Moines, IA 50265
Phone (515) 221-2751
Interoperability endpoints
- amy.oliver.1@28386.direct.athenahealth.com
- aoliver3953831@direct.trinity-health.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A113580 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1601 NW 114TH St
Clive, IA 50325-7007
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7000
Other names 1
NPPES NPI Registry- Amy Diane Loffredo
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2021.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639267200000",
"number": "1922490499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-222-7000",
"fax_number": "515-222-7037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 114TH ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257007",
"telephone_number": "515-222-7000",
"fax_number": "515-222-7037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "AMY",
"middle_name": "DIANE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2021-12-12",
"certification_date": "2021-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "A113580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "LOFFREDO",
"middle_name": "DIANE",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.