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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Amy Jiayue Petty, MD, PHD

Dermatology Physician in Overland Park, KS · enumerated 2021.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124609078

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Registry record

Entity type Individual (Type 1)
Name Dr. Amy Jiayue Petty
Credential MD, PHD
Sex Female
Practice address Overland Park, KS, 66211
Phone (913) 588-1227
Fax (913) 588-8761
Enumeration date Apr 20, 2021
Last updated in NPPES Oct 7, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 2025006496 (MO) Secondary
207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 04-51339 (KS) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Amy Petty?
The National Provider Identifier (NPI) for Amy Petty is 1124609078, a Type 1 (individual) record in the CMS NPPES registry.
Where does Amy Petty practice?
The practice location on file with NPPES is in Overland Park, KS. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-10-07.