NPIMap

Individual provider Active NPI

Amanda Jeanne Phillips, NP

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1235747726
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014930 Issued in KY
Practice address
800 Rose Street
Room M53
Lexington, KY 40536-0298
Phone
(859) 323-5908
Fax
(859) 323-8056
NPI assigned
Jul 21, 2020
Last updated
Feb 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3014930 KY
Family Nurse Practitioner 363LF0000X 3014930 KY Primary

Addresses

Primary practice location

800 Rose Street
Room M53
Lexington, KY 40536-0298

Mailing address

800 Rose St RM M53
Lexington, KY 40536-0298
Phone (859) 323-5908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20200910002531 KY Practitioner - Nurse Practitioner 2668890484 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

520 W Gum St
Marion, KY 42064-1516
Phone (270) 965-1042

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3014930KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crittenden Community Hospital LLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Owensboro Health Medical Group, Inc. Family CurrentSince Jul 27, 2021 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients
Crittenden County Hospital Current Accepting new patients
Crittenden Community Hospital LLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc Family CurrentSince Jul 27, 2021 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Mar 18, 2026 Accepting new patients
Family Practice Clinic PSC Family Current Accepting new patients
Kentucky Em-I Medical Services PSC Nurse Practitioner CurrentSince Mar 18, 2026 Accepting new patients
University of Kentucky CurrentSince Sep 1, 2020 Accepting new patients
Crittenden Community Hospital LLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

1000 S Limestone
Lexington, KY 40506
Phone (859) 323-5901

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm M53
Lexington, KY 40536
Phone (859) 323-5083

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

Interoperability endpoints

  • Direct secure messaging: aphillips23594@ukhcdirect.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb

Organizations & group practices 12

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 1

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1235747726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM M53",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-5908",
            "fax_number": "859-323-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "ROOM M53",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360298",
            "telephone_number": "859-323-5908",
            "fax_number": "859-323-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AMANDA",
        "middle_name": "JEANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3014930",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.