Amanda Lorin Taylor Hawkins, DNP, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Red Bud, IL
NPI 1013533579 · NPPES record last updated Jul 12, 2022
Key facts
- NPI
- 1013533579
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209023593 (IL)
- Practice address
- 325 Spring St
Red Bud, IL 62278-1105 - Phone
- (618) 282-7373
- NPI assigned
- Jun 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Red Bud Illinois Hospital Company LLC
Deaconess Illinois Red Bud Regional Hospital Inc
Practice addresses (Care Compare)
325 Spring St
Red Bud, IL 62278-1105
Hospital & facility affiliations
- Red Bud Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220706003511 | IL | Practitioner - Nurse Practitioner | 0648650788 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Red Bud Regional Hospital Inc | Current |
Accepting new patients | |
| Deaconess Illinois Red Bud Regional Hospital Inc | Current |
Accepting new patients | |
| Red Bud Illinois Hospital Company LLC | Past | Accepting new patients |
Locations
325 Spring St
#2
Redbud, IL 62278
Phone (314) 835-0001
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
Interoperability endpoints
- amanda.hawkins.1@27782.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209023593 | IL | Yes |
Addresses
Primary practice location
325 Spring St
Red Bud, IL 62278-1105
Mailing address
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-7373
Other providers in Red Bud, IL
- Isabelle Hamilton
- Amber L Harriman
- Abby Lea Harris
- Steven L Harrison
- Shea Haury
- Health Focus Inc
- Sarah E Heine
- Colton Henderson
- Ashley N Hentis
- Hess Dental
All providers in Red Bud, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.