Active NPI
Amanda K Snow, NP
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9814
- Practice address
- 5102 W Campbell Ave
Phoenix, AZ 85031-1703 - Phone
- (602) 470-5000
- NPI assigned
- May 31, 2008
- Last updated
- Feb 25, 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200924500 | Medicaid | IN |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Vascular and Interventional Partners PLLC | Current | 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
- asnow192879@direct.valleywisehealth.org
- 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.
-
- Vascular & Interventional Radiology Physician
- Scottsdale, AZ
- NPI 1457021438
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Vascular & Interventional Radiology Physician
- Phoenix, AZ
- NPI 1093667933
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1295968162
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1073570529
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1861441537
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.
- 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.