AMY KELLAMS STINNETT FNP NPI 1972593465

NPI Information

NPI: 1972593465
Provider Name: AMY KELLAMS STINNETT, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
204 E 3RD ST
PORTAGEVILLE, MO
ZIP 63873
Phone: (573) 379-5467
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Amy Kellams Stinnett, FNP is a family nurse practitioner in Portageville, MO with 21 years of experience. Amy Kellams Stinnett, FNP NPI is 1972593465. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

204 E 3RD ST
PORTAGEVILLE, MO
ZIP 63873-402
Phone: (573) 379-5467
Fax: (573) 379-5671

The NPI 1972593465 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 4/1/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		2001008920	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	2001008920	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	42928806	MEDICAID	MISSOURI
2	Q10271	MEDICARE UPIN
3	000081941	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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