Active NPI
Amanda Waddell Carpenter, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3008575
- Practice address
- 320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928 - Phone
- (502) 625-5584
- Fax
- (502) 426-2264
- NPI assigned
- Mar 10, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1139069 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 3008575 | KY | Primary |
Addresses
Primary practice location
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Mailing address
320 Whittington Pkwy
Suite 301
Louisville, KY 40222-4928
Phone (502) 625-5584
Other names 1
- Amanda Kay Waddell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Phone (859) 268-1030
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-2880
4001 Dutchmans LN
Louisville, KY 40207-4714
Phone (502) 629-2880
Hospital & facility affiliations
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1139069 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Consultants Enterprises, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| U S Anesthesia Partners of Kentucky PSC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3423 Solutions Ctr
Chicago, IL 60677
1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1427246198
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1164696282
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1043636541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 WHITTINGTON PKWY",
"address_2": "SUITE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224928",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 WHITTINGTON PKWY",
"address_2": "SUITE 301",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224928",
"telephone_number": "502-625-5584",
"fax_number": "502-426-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "AMANDA",
"middle_name": "WADDELL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1139069",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3008575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "WADDELL",
"middle_name": "KAY",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.