MRS. AMY MICHELLE MEDALIE NP
NPI 1003045204
Nurse Practitioner - Pediatrics in Fort Worth, TX
NPI Status: Active since July 08, 2009
Contact Information
4405 RIVER OAKS BLVD
FORT WORTH, TX
ZIP 76114
Phone: (817) 624-1770
Fax: (817) 625-1287
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
About AMY MEDALIE
This page provides the complete NPI Profile along with additional information for Amy Medalie, a provider established in Fort Worth, Texas with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1003045204 assigned on July 2009. The practitioner's primary taxonomy code is 363LP0200X with license number 6037 (CO). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1003045204
- Provider Name
- MRS. AMY MICHELLE MEDALIE NP
- Other Name
- AMY MICHELLE MEDALIE RN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4405 RIVER OAKS BLVD FORT WORTH, TX 76114
- Location Phone
- (817) 624-1770
- Location Fax
- (817) 625-1287
- Mailing Address
- PO BOX 733784 DALLAS, TX 75373
- Mailing Phone
- (682) 885-1855
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-08-2009
- Last Update Date
- 04-07-2021
- Code Navigator
A nurse practitioner (NP) like Amy Medalie is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 255 Union Blvd Ste 120
Lakewood, CO 80228
(303) 936-7415
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6037
- License State
- CO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Imperial Preferred Bronze - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Gold Zero - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003045204, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 36. The final step is to find the difference between that total and the next multiple of ten (40 - 36 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 36 is 40. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
FT WORTH, TX 76114
FORT WORTH, TX 76114
FORT WORTH, TX 76114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003045204, enumerated as an "individual" on July 08, 2009.
The provider is located at 4405 RIVER OAKS BLVD FORT WORTH, TX 76114 and the phone number is (817) 624-1770.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Imperial Insurance Companies, Inc.. Please consult your insurance carrier or call the provider to verify.
