Individual provider Active NPI

Karli Amstadt

  • Social Worker
  • Mount Gilead, OH
National Provider Identifier
1922681683
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106162 Issued in OH
Practice address
400 W High St Ste B
Mount Gilead, OH 43338-1506
Phone
(419) 221-2821
NPI assigned
Apr 30, 2021
Reactivated
Jun 9, 2021
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X S.2106162 OH Primary

Addresses

Primary practice location

400 W High St Ste B
Mount Gilead, OH 43338-1506

Mailing address

400 W High St Ste B
Mount Gilead, OH 43338-1506

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.2106162OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1922681683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W HIGH ST STE B",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W HIGH ST STE B",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381506",
            "telephone_number": "419-221-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMSTADT",
        "first_name": "KARLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "deactivation_date": "2021-04-30",
        "reactivation_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.