Amanda Alice Rubenkonig, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5025159 Issued in NC

Practice address

623 W 15TH St
Washington, NC 27889-3526

Phone

(252) 644-6450

NPI assigned

Jul 6, 2026

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)

Not enrolled

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1174440515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893526",
            "telephone_number": "252-644-6450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Wheel House Ct",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "NC",
            "postal_code": "278899720",
            "country_code": "US",
            "telephone_number": "304-703-8212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBENKONIG",
        "first_name": "AMANDA",
        "middle_name": "ALICE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5025159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Roebuck, DNP, APRN, FNP-C
• Shannon S Rogers, THERAPIST
• Emily Roland, PHARMD
• Jodi Rose, PHARMD
• Matthew Royster, PA-C
• Thomas Ruffolo, MD
• Jeffery Lane Rumley, DDS
• Ainsley Roberson Rusevlyan, DPM
• Jon Sadler, LCMHC
• Joseph M Saieed, PTA

• Family Nurse Practitioner in Washington, NC
• Providers in Washington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.