Individual provider Active NPI

Amanda Diamantina Reyes-Gill, FNP-C

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1225742299
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3018891 Issued in KY
Practice address
2725 James Sanders Blvd
Paducah, KY 42001-8405
Phone
(270) 554-5114
Fax
(270) 573-0000
NPI assigned
Jan 13, 2023
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3018891 KY
Family Nurse Practitioner 363LF0000X 3018891 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018891 KY

Addresses

Primary practice location

2725 James Sanders Blvd
Paducah, KY 42001-8405

Mailing address

6430 Waid Cir
Paducah, KY 42001-9698
Phone (270) 201-8503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230204000362 KY Practitioner - Nurse Practitioner 5890167639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advancing Medical Solutions PSCGroup PAC ID 5890143564, 5 clinicians

Practice addresses (Care Compare)

2725 James Sanders Blvd
Paducah, KY 42001-8405
Phone (270) 554-5114

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Kentucky LLC Nurse Practitioner CurrentSince Feb 6, 2023 Accepting new patients
Advancing Medical Solutions PSC CurrentSince Sep 5, 2023 Accepting new patients
4D Wellness Family CurrentSince Nov 30, 2025 Accepting new patients
Wellness Place LLC PastSince Aug 11, 2019 Accepting new patients

Locations

4965 US Highway 42
Ste 1000
Louisville, KY 40222
Phone (877) 453-5915

2725 James Sanders Blvd
Paducah, KY 42001
Phone (484) 459-0780

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1225742299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6430 WAID CIR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019698",
            "telephone_number": "270-201-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018405",
            "telephone_number": "270-554-5114",
            "fax_number": "270-573-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES-GILL",
        "first_name": "AMANDA",
        "middle_name": "DIAMANTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3018891",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018891",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018891",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.