Amanda Brooke Carr, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN20052 Issued in TN

Practice address

17619 State Highway 58 N
Ste C
Decatur, TN 37322-7885

Phone

(423) 334-2300

NPI assigned

Aug 20, 2015

Last updated

Aug 22, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Decatur Will Sav Inc

  dba Wil Sav Drugs

  • Community/Retail Pharmacy
  • Decatur, TN
  • NPI 1518012269
  NPD (past)

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440201600000",
    "number": "1043686389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17619 STATE HIGHWAY 58 N",
            "address_2": "STE C",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373227885",
            "telephone_number": "423-334-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17619 STATE HIGHWAY 58 N",
            "address_2": "STE C",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373227885",
            "telephone_number": "423-334-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "AMANDA",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN20052",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN176788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Bennett, RN
• Jessica Elizabeth Broyles
• Sheri D. Burns, FNP-C
• Paula Cain, DC
• Care Links PLLC
• County of Meigs
• County of Meigs Superintendent of Schools
• Larry Gene Crisp, CFNP
• Johnaca Dawson, COTA/L
• Decatur Drugs, LLC (Decatur Drugs)

• Family Nurse Practitioner in Decatur, TN
• Providers in Decatur, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.