Individual provider Active NPI

Amanda Jane Reid, NP

  • Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1003376609
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3013222 Issued in KY
Practice address
1019 Majestic Dr Ste 210
Lexington, KY 40513-1947
Phone
(859) 277-3114
Fax
(859) 277-0498
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013222 KY Primary

Addresses

Primary practice location

1019 Majestic Dr Ste 210
Lexington, KY 40513-1947

Mailing address

1019 Majestic Dr Ste 210
Lexington, KY 40513-1947
Phone (859) 277-3114

Other identifiers 4

IdentifierTypeStateIssuer
7100608490MedicaidKY
0345677MedicaidOH
K292471OtherKYMEDICARE PTAN
K292470OtherKYMEDICARE PTAN

Other names 1

  • Amanda J Stone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425003022 KY Practitioner - Nurse Practitioner 3971845744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iraklis C Livas MD PSCGroup PAC ID 9234024522, 4 clinicians

Practice addresses (Care Compare)

1019 Majestic Dr
Suite 210
Lexington, KY 40513-1947
Phone (859) 277-3114

Hospital & facility affiliations

  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
  • St Claire Regional Medical Center Hospital, Morehead, KY, CCN 180018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iraklis C Livas MD PSC CurrentSince Jul 14, 2025 Accepting new patients

Locations

1019 Majestic Dr
Ste 210
Lexington, KY 40513
Phone (895) 277-3114

280 Stone St
Morehead, KY 40351
Phone (800) 640-0246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1003376609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR STE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131947",
            "telephone_number": "859-277-3114",
            "fax_number": "859-277-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MAJESTIC DR STE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131947",
            "telephone_number": "859-277-3114",
            "fax_number": "859-277-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100608490",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345677",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K292471",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "K292470",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STONE",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.