Individual provider Active NPI

Amanda M Malone, MSN, FNP-BC

  • Family Nurse Practitioner
  • Kingsport, TN
National Provider Identifier
1033537428
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18573 Issued in TN
Practice address
1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone
(423) 239-7300
Fax
(423) 239-7607
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 18573 TN Primary

Addresses

Primary practice location

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 239-7300

Other practice location 1

500 Love St
Erwin, TN 37650-1734
Phone (423) 735-4160

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
I20171128001124 TN Practitioner - Nurse Practitioner 0840557948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of Franklin Healthcare Associates, PLLCGroup PAC ID 2466346291, 258 clinicians

Practice addresses (Care Compare)

1242 W Shipley Ferry Rd
Kingsport, TN 37663-3323
Phone (423) 239-7300

313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435

444 Clinchfield St
Kingsport, TN 37660-3858

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State of Franklin Healthcare Associates PLLC CurrentSince Jan 1, 2021 Accepting new patients
Unaka Internal Medicine, LLC PastSince Jun 22, 2017 Accepting new patients

Locations

313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819

444 Clinchfield St
Ste 201
Kingsport, TN 37660
Phone (423) 230-2100

101 Professional Park Pvt Dr
Kingsport, TN 37663
Phone (423) 239-7300

444 Clinchfield St
Ste 2800
Kingsport, TN 37660
Phone (423) 230-2801

1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300

444 Clinchfield St
Ste 2500
Kingsport, TN 37660
Phone (423) 230-2500

Interoperability endpoints

  • Direct secure messaging: malone@mrfm.gwaydirect.com
  • Direct secure messaging: amandamalone@sofha.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4

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 6

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1033537428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632476",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632476",
            "telephone_number": "423-239-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1242 W SHIPLEY FERRY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633323",
            "telephone_number": "423-239-7300",
            "fax_number": "423-239-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Love St",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376501734",
            "country_code": "US",
            "telephone_number": "423-735-4160",
            "fax_number": "423-735-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.