Active NPI
Amy Kellams Stinnett, FNP
- Family Nurse Practitioner
- Portageville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2001008920
- Practice address
- 204 E 3Rd St
Portageville, MO 63873-1402 - Phone
- (573) 379-5467
- Fax
- (573) 379-5671
- NPI assigned
- Oct 26, 2005
- Last updated
- Apr 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2001008920 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2001008920 | MO | Primary |
Addresses
Primary practice location
204 E 3Rd St
Portageville, MO 63873-1402
Mailing address
204 E 3Rd St
Portageville, MO 63873-1402
Phone (573) 379-5467
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 Sikes Ave
Sikeston, MO 63801-5021
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001008920 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Dyersburg Clinic Corp | Past | Accepting new patients | |
| WT Regional Medical Associates | Past | Accepting new patients |
Locations
204 E 3rd St
Portageville, MO 63873
Phone (573) 379-5467
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Rehabilitation Clinic/Center
- Sikeston, MO
- NPI 1720003551
-
dba Delta Regional Pharmacy
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
dba West Tennessee Medical Group Primary Care Caruthersville
- Rural Health Clinic/Center
- Caruthersville, MO
- NPI 1477870467
-
- Family Medicine Physician
- Dyersburg, TN
- NPI 1093710568
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
dba Mercy Hospital Southeast
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1972593465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 3RD ST",
"city": "PORTAGEVILLE",
"state": "MO",
"postal_code": "638731402",
"telephone_number": "573-379-5467",
"fax_number": "573-379-5671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E 3RD ST",
"city": "PORTAGEVILLE",
"state": "MO",
"postal_code": "638731402",
"telephone_number": "573-379-5467",
"fax_number": "573-379-5671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STINNETT",
"first_name": "AMY",
"middle_name": "KELLAMS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-26",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2001008920",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2001008920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portageville, MO
- Remember Forever Day Treatment, LLC
- Donald D Rone III, PHARM D
- Mary Samples
- Audrey H Shelly, PHARMD
- Southeast Missouri Health Network (Portageville Family Clinic)
- T M Swinger & D V McKillip, PTR
- Zarria Joi Taylor
- Abby Dawn Treece
- Tri-County Community Individualized Supported Living, LLC
- Lorna A Turnage, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.