Amanda Busby Lord, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-131518 Issued in AL

Practice address

9971 Airport Blvd
Mobile, AL 36608-9525

Phone

(251) 660-3500

Fax

(251) 660-3501

NPI assigned

Apr 10, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24353/brand/1/csg/1/fhir/r4
• Direct secure messaging: amanda.lord.1@24353.direct.athenahealth.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.

• Physician Services of the Gulf Coast LLC

  • Urgent Care Clinic/Center
  • Biloxi, MS
  • NPI 1366922023

  AL

  Medicare reassignment Care Compare group NPD
• Alabama Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• Baldwin Emergency Physicians, P.C..

  • Emergency Medicine Physician
  • Fairhope, AL
  • NPI 1154378271
  Medicare reassignment NPD
• Alabama Providence Healthcare Services

  • Family Medicine Physician
  • Robertsdale, AL
  • NPI 1174952261
  NPD
• Alabama Providence Healthcare Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• Providence Healthcare Services

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508878083
  NPD

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1013414630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 HILLSIDE CT",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366959600",
            "telephone_number": "251-776-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9971 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366089525",
            "telephone_number": "251-660-3500",
            "fax_number": "251-660-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8010 Moffett Rd",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365755406",
            "country_code": "US",
            "telephone_number": "251-645-8946",
            "fax_number": "251-645-8976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-639-5070",
            "fax_number": "251-634-2994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5621 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366094210",
            "country_code": "US",
            "telephone_number": "251-666-2439",
            "fax_number": "251-666-3166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8833 Cottage Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366958345",
            "country_code": "US",
            "telephone_number": "251-544-5420",
            "fax_number": "251-544-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6908 Providence Park Dr S",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954600",
            "country_code": "US",
            "telephone_number": "251-660-3490",
            "fax_number": "251-660-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19140 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Citronelle",
            "state": "AL",
            "postal_code": "365222306",
            "country_code": "US",
            "telephone_number": "251-866-0086",
            "fax_number": "251-866-0089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Section St",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365322649",
            "country_code": "US",
            "telephone_number": "251-660-3470",
            "fax_number": "251-660-3471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Providence Park Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366954618",
            "country_code": "US",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Rangeline Service Rd N",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366199504",
            "country_code": "US",
            "telephone_number": "251-661-4454",
            "fax_number": "251-661-9843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD",
        "first_name": "AMANDA",
        "middle_name": "BUSBY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1-131518",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Loper
• Lafeyette K. Loper
• Hector Lopez Cardona, MD
• Carmen Lopez, M.D.
• Mackenzie Lopez
• Jennifer Lorenz, PHARMD
• Raymond Lorenz, PHARMD
• Karen Lorenzo-Silverio
• Keith B Lose, CRNA
• McKenzie Lott

• Family Nurse Practitioner in Mobile, AL
• Providers in Mobile, 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 May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.