Individual provider Active NPI

Amber Ann Barnes, NP-C

  • Adult Health Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1952656423
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5546584-4405 Issued in UT
Practice address
1225 Hancock Rd Ste C
Bullhead City, AZ 86442-5961
Phone
(928) 758-0121
Fax
(928) 758-0145
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP4562 AZ
Adult Health Nurse Practitioner 363LA2200X 5546584-4405 UT Primary

Addresses

Primary practice location

1225 Hancock Rd Ste C
Bullhead City, AZ 86442-5961

Mailing address

1225 Hancock Rd Ste C
Bullhead City, AZ 86442-5961
Phone (928) 758-0121

Other identifiers 1

IdentifierTypeStateIssuer
720698MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20160208001744 UT Practitioner - Nurse Practitioner 4880844091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Dec 1, 2022 Accepting new patients
Desert Oasis Medical Center, PLLC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9980 S 300 W
Ste 200
Sandy, UT 84070
Phone (801) 285-7403

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGAJCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1952656423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425961",
            "telephone_number": "928-758-0121",
            "fax_number": "928-758-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HANCOCK RD STE C",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425961",
            "telephone_number": "928-758-0121",
            "fax_number": "928-758-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "AMBER",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP4562",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "UT",
            "license": "5546584-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "720698",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.