Active NPI
Amber Fawn Adams, MSN, APRN-CNP, FNP-C
- Family Nurse Practitioner
- Jonesboro, AR
National Provider Identifier
1962789826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 122223
- Practice address
- 3637 E Johnson Ave Ste B
Jonesboro, AR 72405-1808 - Phone
- (877) 522-1275
- NPI assigned
- Nov 7, 2011
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 122223 | AR | Primary |
| Family Medicine Physician | 207Q00000X | 122223 | AR |
Addresses
Primary practice location
3637 E Johnson Ave Ste B
Jonesboro, AR 72405-1808
Mailing address
5615 Dunbarton Ave
Pasco, WA 99301-8216
Phone (509) 222-1275
Other practice location 1
1000 E Matthews Ave Ste B
Jonesboro, AR 72401-4344
Phone (870) 932-6883
Other practice location 2
402 SW Larkspur Dr
Walnut Ridge, AR 72476
Phone (870) 886-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728001349 | AR | Practitioner - Nurse Practitioner | 9830571504 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1962789826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 DUNBARTON AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993018216",
"telephone_number": "509-222-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 E JOHNSON AVE STE B",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724051808",
"telephone_number": "877-522-1275"
}
],
"practiceLocations": [
{
"address_1": "1000 E Matthews Ave Ste B",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724014344",
"country_code": "US",
"telephone_number": "870-932-6883",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "402 SW Larkspur Dr",
"address_purpose": "LOCATION",
"city": "Walnut Ridge",
"state": "AR",
"postal_code": "72476",
"country_code": "US",
"telephone_number": "870-886-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADAMS",
"first_name": "AMBER",
"middle_name": "FAWN",
"credential": "MSN, APRN-CNP, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-07",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "122223",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "122223",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.