Individual provider Active NPI

Amanda Rowe, CRNP

  • Family Nurse Practitioner
  • Guntersville, AL
National Provider Identifier
1265893952
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135505 Issued in AL
Practice address
Lakeside Clinic LLC
2337 Homer Clayton Drive
Guntersville, AL 35976-2205
Phone
(256) 582-5131
Fax
(256) 582-1100
NPI assigned
Mar 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 1-135505 AL Primary

Addresses

Primary practice location

Lakeside Clinic LLC
2337 Homer Clayton Drive
Guntersville, AL 35976-2205

Mailing address

Lakeside Clinic LLC
2337 Homer Clayton Drive
Guntersville, AL 35976-2205
Phone (256) 582-5131

Other names 1

  • Cs5672758 Mason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20160504002748 AL Practitioner - Nurse Practitioner 7618276197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Clinic LLCGroup PAC ID 8628980034, 11 clinicians

Practice addresses (Care Compare)

2337 Homer Clayton Dr
Guntersville, AL 35976-2205
Phone (256) 582-5131

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Merit-based Incentive Payment System (MIPS)

Final score
63.74 of 100Reported as group
Quality
30
Improvement activities
40
Cost
72.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1135505ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Clinic LLC CurrentSince Apr 12, 2016 Accepting new patients

Locations

2337 Homer Clayton Dr
Guntersville, AL 35976
Phone (256) 582-5131

Organizations & group practices 1

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 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": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1265893952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAKESIDE CLINIC LLC",
            "address_2": "2337 HOMER CLAYTON DRIVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762205",
            "telephone_number": "256-582-5131",
            "fax_number": "256-582-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAKESIDE CLINIC LLC",
            "address_2": "2337 HOMER CLAYTON DRIVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359762205",
            "telephone_number": "256-582-5131",
            "fax_number": "256-582-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CS5672758",
            "last_name": "MASON",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.