Individual provider Active NPI

Amanda Louise Jones, MSN, APRN, AGNP-C

  • Primary Care Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1194100420
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
COA.17841-NP Issued in OH
Practice address
1526 Uplands Dr
Springfield, OH 45506-4025
Phone
(937) 631-4008
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X COA.17841-NP OH
Primary Care Nurse Practitioner 363LP2300X COA.17841-NP OH Primary
Adult Health Clinical Nurse Specialist 364SA2200X COA.17841-NP OH

Addresses

Primary practice location

1526 Uplands Dr
Springfield, OH 45506-4025

Mailing address

1526 Uplands Dr
Springfield, OH 45506-4025
Phone (937) 631-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150915001582 OH Practitioner - Nurse Practitioner 2860709482 Reassigns benefits to 1 organization
I20210329000977 PA Practitioner - Nurse Practitioner 2860709482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.17841-NPOHMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tapestry Telehealth PLLC CurrentSince Jul 14, 2021 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

21 E State St
Ste 200
Columbus, OH 43215
Phone (203) 568-6065

45 N Scott St
Carbondale, PA 18407
Phone (570) 282-1099

1130 W Chester Pike
West Chester, PA 19382
Phone (215) 815-7500

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1194100420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 UPLANDS DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455064025",
            "telephone_number": "937-631-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 UPLANDS DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455064025",
            "telephone_number": "937-631-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMANDA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "COA.17841-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OH",
            "license": "COA.17841-NP",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "OH",
            "license": "COA.17841-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.