Individual provider Active NPI

Amanda Jones, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1003402496
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015173 Issued in KY
Practice address
401 E Chestnut St Unit 710
Louisville, KY 40202-5707
Phone
(502) 583-8303
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3015173 KY
Nurse Practitioner 363L00000X 3015173 KY Primary

Addresses

Primary practice location

401 E Chestnut St Unit 710
Louisville, KY 40202-5707

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210126003337 KY Practitioner - Nurse Practitioner 4385058700 Reassigns benefits to 1 organization
I20221028000423 IN Practitioner - Nurse Practitioner 4385058700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians CurrentSince Feb 2, 2022 Accepting new patients
Emergency Medicine Physicians Associates PC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Feb 2, 2022 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

8442 Dixie Hwy
Louisville, KY 40258
Phone (502) 286-4644

401 E Chestnut St
Unit 710
Louisville, KY 40202
Phone 50258383031332

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1003402496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-588-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E CHESTNUT ST UNIT 710",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402025707",
            "telephone_number": "502-583-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3015173",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.