Amy B. Killen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9140981-1205 Issued in UT

Practice address

12340 S 450 E
Draper, UT 84020-8154

Phone

(801) 501-9797

Fax

(801) 501-9799

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Biorestoration Medical

  • Family Medicine Physician
  • Draper, UT
  • NPI 1902286297
  NPD (past)
• Quintessence Health and Wellness

  • Pain Medicine (Anesthesiology) Physician
  • Draper, UT
  • NPI 1659974293
  NPD (past)
• Capitol City Emergency Staffing PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Pflugerville, TX
  • NPI 1134394307
  NPD (past)
• Casa Grande Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Casa Grande, AZ
  • NPI 1871589051
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1992779185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12340 S 450 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208154",
            "telephone_number": "801-501-9797",
            "fax_number": "801-501-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 S 450 E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208154",
            "telephone_number": "801-501-9797",
            "fax_number": "801-501-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "AMY",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "33810",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "9140981-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "947509",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Kessler
• Dejanna Ketchens
• Ketcher Management Services
• November Kiahtipes
• Quinn Alisse Kiger, LCSW
• Layne R Kilpatrick, RPH
• Colin King
• Noelle Page King
• Elizabeth Kinnaman
• Raeanna Kirk, RN

• General Practice Physician in Draper, UT
• Providers in Draper, UT by specialty
• General Practice Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.