Amanda Lynn Maynard, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007639 Issued in KY

Practice address

428 E Main St
Inez, KY 41224-8931

Phone

(606) 298-2660

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By 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

Enrolled in KY, WV2 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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Three Rivers Medical Clinics IncGroup PAC ID 7315845047, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders - Louisa Home health agency, Louisa, KY, CCN 187160
• Three Rivers Medical Center Hospital, Louisa, KY, CCN 180128
• King's Daughters' Medical Center Hospital, Ashland, KY, CCN 180009
• Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.maynard.1@1954.direct.athenahealth.com

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.

• Three Rivers Medical Clinics Inc

  • Internal Medicine Physician
  • Louisa, KY
  • NPI 1568567345

  Family, WV

  Medicare reassignment Care Compare group NPD
• Three Rivers Medical Clinics Inc

  dba Three Rivers Family Practice - Riverview

  • Rural Health Clinic/Center
  • Louisa, KY
  • NPI 1437824406
  NPD

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

• Ashland Hospital Corporation

  dba Kings Daughters Medical Center

  • General Acute Care Hospital
  • Ashland, KY
  • NPI 1851346720
  Care Compare affiliation
• Hospital of Louisa, Inc.

  dba Three Rivers Medical Center

  • General Acute Care Hospital
  • Louisa, KY
  • NPI 1063484483
  Care Compare affiliation
• Louisa Home Care Services LLC

  dba Caretenders - Louisa

  • Home Health Agency
  • Louisa, KY
  • NPI 1164401881
  Care Compare affiliation
• Cabell Huntington Hospital Inc

  dba Cabell Huntington Hospital

  • General Acute Care Hospital
  • Huntington, WV
  • NPI 1073518007
  Care Compare affiliation

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1114279635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412241269",
            "telephone_number": "606-534-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E MAIN ST",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "412248931",
            "telephone_number": "606-298-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007639",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "63087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin County Health Department
• Martin County Rural Health Clinic PLLC
• Martin Manor LLC
• Martin Manor Operations, LLC
• Cheyenne Nicole May, PSS
• Patricia Faye McCoy
• Stacye Elizabeth McQueen
• Megan Mellert
• Bethany Mills, PSYCHOLOGIST
• Johnny Mills

• Family Nurse Practitioner in Inez, KY
• Providers in Inez, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.
• 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.

Verify at the official NPI Registry.