Individual provider Active NPI

Amy Fox

  • Gerontology Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1992097265
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
R087864 Issued in MD
Practice address
6695 Stoneridge CT.
Frederick, MD 21702
Phone
(301) 788-7400
NPI assigned
May 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R087864 MD
Gerontology Nurse Practitioner 363LG0600X R087864 MD Primary

Addresses

Primary practice location

6695 Stoneridge CT.
Frederick, MD 21702

Mailing address

6695 Stoneridge CT
Frederick, MD 21702-2989
Phone (301) 788-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170110000112 DC Practitioner - Nurse Practitioner 7416125851 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R087864MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fried and Wilks, LLC CurrentSince Nov 28, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Allen J Gilson M.D. LLC PastSince Feb 1, 2011 Accepting new patients

Locations

7758 Wisconsin Ave
Ste 211
Bethesda, MD 20814

10 N Jefferson St
Ste 300
Frederick, MD 21701

10718 Potomac Tennis Ln
Potomac, MD 20854
Phone (202) 308-4992

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27008/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1992097265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6695 STONERIDGE CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217022989",
            "telephone_number": "301-788-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6695 STONERIDGE CT.",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-788-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R087864",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R087864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.