Active NPI
Amanda Lynn Gillio, CRNP
- Nurse Practitioner
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP019385
- Practice address
- 278 Eagleview Blvd
Exton, PA 19341-1157 - Phone
- (610) 561-6320
- Fax
- (610) 561-6301
- NPI assigned
- Oct 15, 2018
- Last updated
- Jun 14, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP019385 | PA | Primary |
Addresses
Primary practice location
278 Eagleview Blvd
Exton, PA 19341-1157
Mailing address
278 Eagleview Blvd
Exton, PA 19341-1157
Phone (610) 561-6400
Other practice location 1
710 N Wales Rd
North Wales, PA 19454-1725
Phone (855) 925-4733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103575918-0004 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agillio@towerhealthurgentcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP019385 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC-Pennsylvania | Current | Accepting new patients | |
| Tower Health Urgent Care, LLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Urgent Care, PC - Pennsylvania | Current | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
1139 Ben Franklin Hwy W
Ste 114
Douglassville, PA 19518
Phone (610) 385-4444
278 Eagleview Blvd
Exton, PA 19341
Phone (610) 561-6400
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
33 W Ridge Pike
Ste 627
Royersford, PA 19468
Phone (610) 226-6200
520 Chestnut St
Bldg S3
West Reading, PA 19611
Phone (610) 561-6320
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.
-
- Emergency Medicine Physician
- Douglassville, PA
- NPI 1194293647
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
dba MedExpress Urgent Care - St. Clair, Clover Dr
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
-
dba MedExpress Urgent Care - Hermitage
- Urgent Care Clinic/Center
- Hermitage, PA
- NPI 1124318043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1962978254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 EAGLEVIEW BLVD",
"city": "EXTON",
"state": "PA",
"postal_code": "193411157",
"telephone_number": "610-561-6400",
"fax_number": "484-713-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 EAGLEVIEW BLVD",
"city": "EXTON",
"state": "PA",
"postal_code": "193411157",
"telephone_number": "610-561-6320",
"fax_number": "610-561-6301"
}
],
"practiceLocations": [
{
"address_1": "710 N Wales Rd",
"address_purpose": "LOCATION",
"city": "North Wales",
"state": "PA",
"postal_code": "194541725",
"country_code": "US",
"telephone_number": "855-925-4733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLIO",
"first_name": "AMANDA",
"middle_name": "LYNN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-15",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP019385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103575918-0004",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agillio@towerhealthurgentcare.org",
"affiliation": "N",
"endpointDescription": "agillio@towerhealthurgentcare.org",
"address_1": "278 Eagleview Blvd",
"city": "Exton",
"state": "PA",
"country_code": "US",
"postal_code": "193411157",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.