Individual provider Active NPI

Amanda Marie Youtzy, BSN, RN

  • Ambulatory Care Registered Nurse
  • Mason City, IA
National Provider Identifier
1982388286
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
149881 Issued in IA
Practice address
478 Tiffany Dr
Mason City, IA 50401-1535
Phone
(646) 149-4500
Fax
(641) 494-5028
NPI assigned
Jun 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 149881 IA Primary

Addresses

Primary practice location

478 Tiffany Dr
Mason City, IA 50401-1535

Mailing address

478 Tiffany Dr
Mason City, IA 50401-1535
Phone (646) 149-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
149881IAMDAmbulatory Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1982388286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 TIFFANY DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011535",
            "telephone_number": "646-149-4500",
            "fax_number": "641-494-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "478 TIFFANY DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011535",
            "telephone_number": "646-149-4500",
            "fax_number": "641-494-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUTZY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IA",
            "license": "149881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.