Active NPI
Amber Leigh Frantum, PA-C
- Medical Physician Assistant
- Indianola, IA
National Provider Identifier
1952413684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001675
- Practice address
- 307 E Scenic Valley Ave
Indianola, IA 50125-4865 - Phone
- (515) 961-8448
- Fax
- (515) 643-9100
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001675 | IA | Primary |
Addresses
Primary practice location
307 E Scenic Valley Ave
Indianola, IA 50125-4865
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 961-8448
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001675 | Other | IA | STATE PA LICENSE |
| 1069814 | Other | IA | NCCPA |
| 5100916 | Other | IA | CSA |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001675 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hy Vee Iowa Health LC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1952413684",
"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": "515-961-8448",
"fax_number": "515-643-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E SCENIC VALLEY AVE",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501254865",
"telephone_number": "515-961-8448",
"fax_number": "515-643-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANTUM",
"first_name": "AMBER",
"middle_name": "LEIGH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "001675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PA LICENSE",
"identifier": "001675",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1069814",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSA",
"identifier": "5100916",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianola, IA
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.