Individual provider Active NPI

Amanda G Brown, FNP

  • Family Nurse Practitioner
  • Harrogate, TN
National Provider Identifier
1104941053
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0380907 Issued in TN
Practice address
6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230
Phone
(423) 869-3332
Fax
(423) 869-3332
NPI assigned
Mar 20, 2007
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 0380907 TN Primary

Addresses

Primary practice location

6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230

Mailing address

PO Box 667
La Follette, TN 37766-0601
Phone (423) 869-3332

Other names 1

  • Amanda G Partin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070713000667 TN Practitioner - Nurse Practitioner 9133229503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrogate Family PracticeGroup PAC ID 0840363123, 2 clinicians

Practice addresses (Care Compare)

6976 Cumberland Gap Pkwy
Harrogate, TN 37752-8230
Phone (423) 869-3332

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7778TNMDDentist
0380907TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harrogate Family Practice CurrentSince May 1, 2008 Accepting new patients
First Care Medical Center PC Past Accepting new patients

Locations

6976 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 669-3332

617 E Central Ave
La Follette, TN 37766
Phone (423) 201-9799

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1104941053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377660601",
            "telephone_number": "423-869-3332",
            "fax_number": "423-869-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6976 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528230",
            "telephone_number": "423-869-3332",
            "fax_number": "423-869-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0380907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PARTIN",
            "middle_name": "G",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrogate, TN

Sources for this page

Verify at the official NPI Registry.