Individual provider Active NPI

Amanda Diane Price, CRNP

  • Family Medicine Physician
  • Waterloo, AL
National Provider Identifier
1023723053
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-107250 Issued in AL
Practice address
314 Main St
Waterloo, AL 35677-4401
Phone
(256) 629-0033
Fax
(256) 629-0042
NPI assigned
Jan 13, 2023
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-107250 AL Primary

Addresses

Primary practice location

314 Main St
Waterloo, AL 35677-4401

Mailing address

314 Main St
Waterloo, AL 35677-4401
Phone (256) 629-0033

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230309001299 AL Practitioner - Nurse Practitioner 5395118582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians
Petersville Family Care, LLCGroup PAC ID 0648522243, 2 clinicians

Practice addresses (Care Compare)

15225 Hwy 43
Suite I
Russellville, AL 35653-1969
Phone (256) 331-2700

2929 Cloverdale Rd
Unit D
Florence, AL 35633-1505
Phone (256) 275-7125

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Price Family Clinic Current Accepting new patients
Price Family Clinic Family Medicine CurrentSince Jan 12, 2023 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Russellville Hospital Inc Family Medicine CurrentSince Mar 1, 2024 Accepting new patients

Locations

2929 Cloverdale Rd
#D
Florence, AL 35633
Phone (256) 275-7125

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

314 Main St
Waterloo, AL 35677
Phone (256) 629-0033

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1023723053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "WATERLOO",
            "state": "AL",
            "postal_code": "356774401",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST",
            "city": "WATERLOO",
            "state": "AL",
            "postal_code": "356774401",
            "telephone_number": "256-629-0033",
            "fax_number": "256-629-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-107250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, AL

Sources for this page

Verify at the official NPI Registry.