Individual provider Active NPI

Amy Diane Oliver, ARNP

  • Nurse Practitioner
  • Clive, IA
National Provider Identifier
1922490499
Registry record updated Dec 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A113580 Issued in IA
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
A113580IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Jan 3, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jan 3, 2017 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

  • Direct secure messaging: amy.oliver.1@28386.direct.athenahealth.com
  • Direct secure messaging: aoliver3953831@direct.trinity-health.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A113580 IA Primary

Addresses

NPPES NPI Registry

Primary 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 Former name

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

Verify at the official NPI Registry.