Individual provider Active NPI

Amanda Dawn Barnes, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1194124388
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18854 Issued in TN
Practice address
1819 W Clinch Ave
Ste 108
Knoxville, TN 37916-2435
Phone
(865) 546-5111
Fax
(865) 541-4018
NPI assigned
Aug 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 18854 TN Primary

Addresses

Primary practice location

1819 W Clinch Ave
Ste 108
Knoxville, TN 37916-2435

Mailing address

1819 W Clinch Ave
Ste 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

Other identifiers 1

IdentifierTypeStateIssuer
Q009144MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barnes.amanda.dawn@covenanthealth.cernerdirect.com

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
I20141028002857 TN Practitioner - Nurse Practitioner 6800017286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Heart Group, Inc. 20 clinicians

Practice addresses (Care Compare)

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 546-5111

380 W Broadway Blvd
Jefferson City, TN 37760-2602
Phone (865) 546-5111

744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5036
Phone (865) 546-5111

Hospital & facility affiliations

  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125
  • Leconte Medical Center Hospital, Sevierville, TN, CCN 440081
  • Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Heart Group, Inc. CurrentSince Sep 21, 2015 Accepting new patients
Knoxville Heart Group PC Past Accepting new patients

Locations

1819 Clinch Ave
Ste 108
Knoxville, TN 37916
Phone (865) 541-4062

1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111

7625 Chapman Hwy
Ste 103
Knoxville, TN 37920
Phone (865) 331-1122

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1194124388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-541-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-541-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009144",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barnes.amanda.dawn@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1819 W CLINCH AVE",
            "address_2": "STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.