Active NPI
Amanda Lee Parks, APRN
- Family Nurse Practitioner
- Louisa, KY
National Provider Identifier
1083241673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3014217
- Practice address
- 203 S Water St
Louisa, KY 41230-1347 - Phone
- (606) 649-2211
- Fax
- (606) 638-1399
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3014217 | KY | Primary |
Addresses
Primary practice location
203 S Water St
Louisa, KY 41230-1347
Mailing address
PO Box 726
Louisa, KY 41230-0726
Phone (606) 638-0938
Other practice location 1
2735 Bardstown Rd
St Catharine, KY 40061-9435
Phone (606) 638-0638
Other practice location 2
50 Recovery Dr
Ashland, KY 41101-8800
Phone (606) 220-0010
Other practice location 3
125 S Main Cross St
Louisa, KY 41230-1330
Phone (606) 638-0938
Other names 1
- Amanda Lee Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241008003690 | KY | Order and Referring Only - Nurse Practitioner | 0143751636 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pioneer Health Group LLC | Past | Accepting new patients | |
| Arc Health Systems, LLC | Past | Accepting new patients |
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.
-
- Psychiatric Hospital
- Ashland, KY
- NPI 1346922903
-
- Addiction Medicine (Family Medicine) Physician
- Louisa, KY
- NPI 1235585126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1083241673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"city": "LOUISA",
"state": "KY",
"postal_code": "412300726",
"telephone_number": "606-638-0938",
"fax_number": "859-813-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 S WATER ST",
"city": "LOUISA",
"state": "KY",
"postal_code": "412301347",
"telephone_number": "606-649-2211",
"fax_number": "606-638-1399"
}
],
"practiceLocations": [
{
"address_1": "2735 Bardstown Rd",
"address_purpose": "LOCATION",
"city": "St Catharine",
"state": "KY",
"postal_code": "400619435",
"country_code": "US",
"telephone_number": "606-638-0638",
"fax_number": "859-813-5394",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Recovery Dr",
"address_purpose": "LOCATION",
"city": "Ashland",
"state": "KY",
"postal_code": "411018800",
"country_code": "US",
"telephone_number": "606-220-0010",
"fax_number": "606-744-1875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 S Main Cross St",
"address_purpose": "LOCATION",
"city": "Louisa",
"state": "KY",
"postal_code": "412301330",
"country_code": "US",
"telephone_number": "606-638-0938",
"fax_number": "859-813-5394",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKS",
"first_name": "AMANDA",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-24",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3014217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "YOUNG",
"middle_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Louisa, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.