Individual provider Active NPI

Amanda Alicia Johns, CRNP

  • Family Nurse Practitioner
  • Easton, PA
National Provider Identifier
1043079866
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029190 Issued in PA
Practice address
3701 Corriere Rd Ste 10
Easton, PA 18045-7991
Phone
(484) 591-7205
NPI assigned
Mar 14, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 SP029190 PA Primary

Addresses

Primary practice location

3701 Corriere Rd Ste 10
Easton, PA 18045-7991

Mailing address

3701 Corriere Rd Ste 10
Easton, PA 18045-7991
Phone (484) 591-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240703004306 PA Practitioner - Nurse Practitioner 3577007285 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jun 10, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 10, 2024 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3701 Corriere Rd
Ste 10
Palmer Township, PA 18045
Phone (484) 591-7060

3701 Corriere Rd
Ste 14
Palmer Township, PA 18045
Phone (484) 591-7010

320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240

2741 MacArthur Rd
Whitehall, PA 18052
Phone (610) 403-6000

Interoperability endpoints

  • Direct secure messaging: ajohns334607@direct2.lvhn.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1043079866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 10",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 CORRIERE RD STE 10",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180457991",
            "telephone_number": "484-591-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNS",
        "first_name": "AMANDA",
        "middle_name": "ALICIA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.