Individual provider Active NPI

Amanda K Snow, NP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1972761310
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9814 Issued in AZ
Practice address
5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone
(602) 470-5000
NPI assigned
May 31, 2008
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9814 AZ Primary

Addresses

Primary practice location

5102 W Campbell Ave
Phoenix, AZ 85031-1703

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000

Other identifiers 1

IdentifierTypeStateIssuer
200924500MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20190413000148 AZ Practitioner - Nurse Practitioner 0840343547 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular and Interventional Partners PLLCGroup PAC ID 9739587775, 25 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-5097

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Oct 1, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Vascular and Interventional Partners PLLC CurrentSince Apr 14, 2023 Accepting new patients
Emergency Medical Group, Inc. Past Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 202
Avondale, AZ 85392
Phone (480) 435-9100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

22455 N Miller Rd
Ste B100
Scottsdale, AZ 85255
Phone (480) 435-9100

Interoperability endpoints

  • Direct secure messaging: asnow192879@direct.valleywisehealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIFCD

Organizations & group practices 9

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1972761310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5000",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 W CAMPBELL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311703",
            "telephone_number": "602-470-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOW",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-31",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200924500",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.