Individual provider Active NPI

Amanda Diane Bratcher

  • Nurse Practitioner
  • Gallatin, TN
National Provider Identifier
1023635554
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
171032 Issued in TN
Practice address
1091 Vinings Blvd
Gallatin, TN 37066-3078
Phone
(931) 224-1904
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 171032 TN Primary

Addresses

Primary practice location

1091 Vinings Blvd
Gallatin, TN 37066-3078

Mailing address

1091 Vinings Blvd
Gallatin, TN 37066-3078
Phone (931) 224-1904

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924003330 TN Practitioner - Nurse Practitioner 9234558297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology and Hepatology Associates, PLLCGroup PAC ID 0749384212, 6 clinicians

Practice addresses (Care Compare)

107 Glen Oak Blvd
Suite 202
Hendersonville, TN 37075-3000
Phone (615) 826-0710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
171032TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology & Hepatology Associates PLLC CurrentSince Dec 1, 2020 Accepting new patients
Gastroenterology and Hepatology Associates PastSince Dec 1, 2020 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 249C
Hendersonville, TN 37075
Phone (615) 757-4275

355 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 264-4000

107 Glen Oak Blvd
Ste 202
Hendersonvlle, TN 37075
Phone (615) 325-1215

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDABAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDABAA/Endpoint/BDABAA

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1023635554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 VININGS BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663078",
            "telephone_number": "931-224-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 VININGS BLVD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663078",
            "telephone_number": "931-224-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATCHER",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "171032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.