Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY MCDONALD RN
NPI 1104715051
Nurse Practitioner - Family in Fraziers Bottom, WV

Active since July 02, 2025
9737 BLACK OAK RD STE E, FRAZIERS BOTTOM, WV 25082(740) 208-0190 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2026, Jul 20, 2026, Jul 2, 2025 (3 updates tracked since 2025).

About Amy Mcdonald Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY MCDONALD RN (NPI 1104715051) is an individual family provider in Fraziers Bottom, West Virginia, licensed in Utah (142907337-4405) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1104715051
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY MCDONALDCredential: RN
Location Address9737 BLACK OAK RD STE EFraziers Bottom, WV 25082-8006
Mailing Address9737 Black Oak Rd Ste EFraziers Bottom, WV 25082-8006 · (740) 208-0190
Sole ProprietorYes
Enumeration DateJuly 2, 2025
Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1104715051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in UT · 142907337-4405 Licensed in PA · SP036499 Licensed in WV · 126341 Licensed in WA · 70138750 Licensed in WY · 59518 Licensed in CO · C-AP.0107336-C-NP Licensed in VT · 101.0139476 Licensed in ID · 7981214 Licensed in ND · 205438 Licensed in LA · 248227 Licensed in IA · A192998 Licensed in KY · 4059349 Licensed in TN · 42380 Licensed in MT · 290853 Licensed in FL · 11049224
9737 BLACK OAK RD STE E, Fraziers Bottom, WV 25082

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Mcdonald's NPI number?

The NPI number for Amy Mcdonald is 1104715051. It was assigned to this individual provider in the NPPES registry on July 2, 2025.

Where is Amy Mcdonald located?

Amy Mcdonald practices at 9737 Black Oak Rd Ste E, Fraziers Bottom, WV 25082. The listed phone number is (740) 208-0190.

What is Amy Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amy Mcdonald was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.