Amanda Jean Shackelford, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3018068 Issued in KY

Practice address

101 Orchard Dr
Nicholasville, KY 40356-2690

Phone

(859) 881-4288

Fax

(859) 881-4388

NPI assigned

Jul 22, 2022

Last updated

Sep 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Practice Associates of Lexington PSCGroup PAC ID 0749275022, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Lexington Hospital, Lexington, KY, CCN 180103
• Saint Joseph East Hospital, Lexington, KY, CCN 180143

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Practice Associates of Lexington PSC

  • Family Medicine Physician
  • Lexington, KY
  • NPI 1053316596
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  dba Baptist Health Lexington

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1538244918
  Care Compare affiliation
• Saint Joseph Health System, Inc

  dba CHI Saint Joseph East

  • General Acute Care Hospital
  • Lexington, KY
  • NPI 1447457775
  Care Compare affiliation

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1295460251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E 11TH ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712203",
            "telephone_number": "859-655-6100",
            "fax_number": "859-655-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ORCHARD DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403562690",
            "telephone_number": "859-881-4288",
            "fax_number": "859-881-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Sciretta, MS, CF-SLP
• Antonietta Laverne Sculimbrene, MD
• Catherine Seevers, PTA
• Sheree Sexton-Amis, JD
• Leslie Erin Sexton, PHARM.D.
• Jeanine Shakelford, LDO
• Julie Carroll Sharon
• Jean Crosby Shearer, LCSW
• Lesley Brooke Sheffield
• Preetpal Singh Sidhu, PHD

• Family Nurse Practitioner in Nicholasville, KY
• Providers in Nicholasville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.