Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amber Lee-Ann Koth, FNP-C

Individual provider Family Nurse Practitioner · NPI 1508388372

Amber Lee-Ann Koth, FNP-C is a Family Nurse Practitioner in Peoria, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-4416
Phone: (309) 672-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1915 S Mattis Ave, Champaign, IL 61821-5919 — (217) 352-0516

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277001734 (IL)

Record details

NPI number1508388372
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 12, 2017
Last updated in NPPESNovember 29, 2024
Certification dateNovember 29, 2024

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