Individual provider Active NPI

Amy Harland, PA

  • Physician Assistant
  • Panora, IA
National Provider Identifier
1962786087
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2228 Issued in IA
Practice address
319 E Main
Panora, IA 50216-1123
Phone
(641) 755-2121
Fax
(641) 755-2314
NPI assigned
Oct 7, 2011
Last updated
Oct 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2228 IA Primary

Addresses

Primary practice location

319 E Main
Panora, IA 50216-1123

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (641) 755-2121

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
I20111112000027 IA Practitioner - Physician Assistant 0244404044 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002228IAMDSpeech-Language Pathologist
2228IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital Physician Assistant CurrentSince Jul 31, 2019 Accepting new patients
Dallas County Hospital Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

610 10th St
Perry, IA 50220
Phone (515) 465-3547

616 10th St
Perry, IA 50220
Phone (515) 465-3553

Interoperability endpoints

  • Direct secure messaging: amyharland@dcfm.allscriptsdirect.net

Organizations & group practices 4

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": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1962786087",
    "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": "641-755-2121",
            "fax_number": "641-755-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MAIN",
            "city": "PANORA",
            "state": "IA",
            "postal_code": "502161123",
            "telephone_number": "641-755-2121",
            "fax_number": "641-755-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARLAND",
        "first_name": "AMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "2228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panora, IA

Sources for this page

Verify at the official NPI Registry.