Amalie Beth Shanks, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-02134 Issued in NC

Practice address

230 Associates Blvd
Alcoa, TN 37701-1943

Phone

(865) 977-4673

Fax

(865) 273-1550

NPI assigned

Dec 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1164752010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W BROADWAY AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014703",
            "telephone_number": "865-273-1752",
            "fax_number": "865-273-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ASSOCIATES BLVD",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011943",
            "telephone_number": "865-977-4673",
            "fax_number": "865-273-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANKS",
        "first_name": "AMALIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Scheib, MD
• Jennifer Ashley Scheuer, DPT
• Peter R Scott, MD
• Cristina E Semeco Rojas, M.D.
• Serenity Health Consultants, Inc.
• Bear L Shepherd, PHARMD
• Cassidy Bear Shull
• Toshia Danielle Simerly, LPN
• Stanley A Sisk, D.D.S.
• Victoria Sissom, PA-C

• Medical Physician Assistant in Alcoa, TN
• Providers in Alcoa, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.