Individual provider Active NPI

Amanda May Leuthold, MD

  • Psychiatry Physician
  • Knoxville, TN
National Provider Identifier
1013536085
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58067 Issued in KY
Practice address
1111 N Northshore Dr
Knoxville, TN 37919-4005
Phone
(655) 840-1718
NPI assigned
Apr 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 58067 KY Primary

Addresses

Primary practice location

1111 N Northshore Dr
Knoxville, TN 37919-4005

Mailing address

1111 N Northshore Dr
Knoxville, TN 37919-4005
Phone (865) 584-0171

Other practice location 1

2437 Jones Bend Rd
Louisville, TN 37777-5216
Phone (865) 970-9800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mayak1@etsu.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015000291 TN Practitioner - Psychiatry 9133540842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
East Tennessee State University Quillen College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkwest Medical CenterGroup PAC ID 8527965417, 58 clinicians

Practice addresses (Care Compare)

2347 Jones Bend Rd
Louisville, TN 37777-5213
Phone (865) 970-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58067KYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Parkwest Medical Center CurrentSince Aug 10, 2025 Accepting new patients
Parkwest Medical Center CurrentSince Aug 10, 2025 Accepting new patients
The Northshore Group, Inc. Psychiatry PastSince May 29, 2022 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2347 Jones Bend Rd
Louisville, TN 37777
Phone (865) 373-8206

Organizations & group practices 3

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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1013536085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194005",
            "telephone_number": "865-584-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194005",
            "telephone_number": "655-840-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2437 Jones Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "TN",
            "postal_code": "377775216",
            "country_code": "US",
            "telephone_number": "865-970-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEUTHOLD",
        "first_name": "AMANDA",
        "middle_name": "MAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "58067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mayak1@etsu.edu",
            "affiliation": "N",
            "address_1": "625 19th St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352331900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.