Individual provider Active NPI

Amanda Lynch, FNP

  • Family Nurse Practitioner
  • Elizabeth, WV
National Provider Identifier
1255870036
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63455 Issued in WV
Practice address
483 Court Street
Elizabeth, WV 26143-0609
Phone
(304) 275-3301
Fax
(304) 275-4798
NPI assigned
Feb 14, 2017
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 63455 WV Primary

Addresses

Primary practice location

483 Court Street
Elizabeth, WV 26143-0609

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Other names 1

  • Amanda Duncan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170403001914 WV Practitioner - Nurse Practitioner 9335425420 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63455WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc Current Accepting new patients
Recover Together, LLC Family CurrentSince May 1, 2024 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Feb 5, 2017 Accepting new patients

Locations

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

2610 Camden Ave
Parkersburg, WV 26101
Phone (304) 428-1161

4421 Emerson Ave
Ste 205
Parkersburg, WV 26104
Phone (304) 693-6096

Organizations & group practices 4

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1255870036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 COURT STREET",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "63455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "DUNCAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabeth, WV

Sources for this page

Verify at the official NPI Registry.