Individual provider Active NPI

Amanda A. Cantwell, NP

  • Family Nurse Practitioner
  • Jonesborough, TN
National Provider Identifier
1063962728
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21722 Issued in TN
Practice address
501 N Cherokee St Ste 3
Jonesborough, TN 37659-5599
Phone
(423) 753-0744
Fax
(423) 753-4997
NPI assigned
Oct 6, 2016
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21722 TN Primary
Family Nurse Practitioner 363LF0000X 0024174210 VA

Addresses

Primary practice location

501 N Cherokee St Ste 3
Jonesborough, TN 37659-5599

Mailing address

501 N Cherokee St Ste 3
Jonesborough, TN 37659-5599
Phone (423) 753-0744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161111001175 TN Practitioner - Nurse Practitioner 9234418393 Reassigns benefits to 1 organization
I20161213002649 VA Practitioner - Nurse Practitioner 9234418393 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21722TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2019 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Q-Care Medical PLLC Family CurrentSince Jan 6, 2018 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2019 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Jan 1, 2017 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Apr 1, 2019 Accepting new patients
Takoma Regional Hospital Dba Takoma Outpatient Behavioral Services Past Accepting new patients
Premise Health of Tennessee Medical PC PastSince Jul 25, 2021 Accepting new patients

Locations

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1744 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 636-8891

2055 E Andrew Johnson Hwy
Ste 3
Greeneville, TN 37745
Phone (423) 639-2176

3225 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 922-9224

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701

4600 Fort Henry Dr
Kingsport, TN 37663
Phone (423) 224-3950

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

245 Medical Park Dr
Ste C
Marion, VA 24354
Phone (276) 378-1000

Organizations & group practices 9

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1063962728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CHEROKEE ST STE 3",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595599",
            "telephone_number": "423-753-0744",
            "fax_number": "423-753-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CHEROKEE ST STE 3",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376595599",
            "telephone_number": "423-753-0744",
            "fax_number": "423-753-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "AMANDA",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21722",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

Verify at the official NPI Registry.