NPIMap

Individual provider Active NPI

Amanda Lynn Kincaid

  • Nurse Practitioner
  • Blowing Rock, NC
National Provider Identifier
1225672959
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012489 Issued in NC
Practice address
8439 Valley Blvd
Blowing Rock, NC 28605-8957
Phone
(828) 295-3116
Fax
(828) 295-4388
NPI assigned
Nov 6, 2019
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012489 NC Primary

Addresses

Primary practice location

8439 Valley Blvd
Blowing Rock, NC 28605-8957

Mailing address

160 River Bend Dr Ste a
Granite Falls, NC 28630-9371
Phone (828) 757-5060

Other practice location 1

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504

Other identifiers 1

IdentifierTypeStateIssuer
5012489OtherNCAPRN

Other names 1

  • Amanda Kincaid Herring Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address awenzel124799@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200316002652 NC Practitioner - Nurse Practitioner 7810325313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

30 13TH Ave NW
Hickory, NC 28601-3765
Phone (828) 324-0100

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012489NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Jan 31, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jun 20, 2025 Accepting new patients
Caldwell Memorial Hospital, Inc CurrentSince Jan 31, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 30, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Blowing Rock Medical Clinic PR Current Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

30 13th Ave NW
Hickory, NC 28601
Phone (828) 324-0100

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: awenzel124799@direct.unc.nchie.net

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1225672959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE A",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309371",
            "telephone_number": "828-757-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 VALLEY BLVD",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286058957",
            "telephone_number": "828-295-3116",
            "fax_number": "828-295-4388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Mulberry St SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286455720",
            "country_code": "US",
            "telephone_number": "828-757-5504",
            "fax_number": "828-757-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "5012489",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awenzel124799@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HERRING",
            "middle_name": "KINCAID",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blowing Rock, NC

Sources for this page

Verify at the official NPI Registry.