Amanda Marie Pearson, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-145123 Issued in AL

Practice address

516 Quintard Ave
Anniston, AL 36201-5711

Phone

(256) 741-9799

Fax

(256) 741-9795

NPI assigned

Dec 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Marie Carden Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: apearson21892@childrensofalabama.direct-ci.com

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.

• Purohit Pediatric Clinic, LLC

  • Specialist
  • Anniston, AL
  • NPI 1790971166
  NPD (past)

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

{
    "created_epoch": "1544572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1003387309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015711",
            "telephone_number": "256-741-9799",
            "fax_number": "256-741-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 QUINTARD AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015711",
            "telephone_number": "256-741-9799",
            "fax_number": "256-741-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-145123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CARDEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Dawn Payne
• PDSS, Inc
• Carson William Pearce, CRNP
• Haley Cobb Pearl, MS, RD, LD
• Pearls Transportation LLC
• Terrance R Pearson, PT
• Pediatric PT LLC.
• Pediatrics Plus, P.C.
• Leslie Murray Peek, FNP-C
• Audrey Pentecost

• Family Nurse Practitioner in Anniston, AL
• Providers in Anniston, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.