Amanda Manley Cook, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000017164 Issued in TN

Practice address

507 W Sunset Dr
Lebanon, TN 37087-3845

Phone

(615) 604-0577

Fax

(615) 453-2856

NPI assigned

Dec 19, 2012

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 TN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1316283302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W SUNSET DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873845",
            "telephone_number": "615-604-0577",
            "fax_number": "615-453-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W SUNSET DR",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873845",
            "telephone_number": "615-604-0577",
            "fax_number": "615-453-2856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMANDA",
        "middle_name": "MANLEY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Quick Care
• Complete Physical Therapy and Wellness, LLC
• Terah Dean Compton
• Concord Infectious Disease Associates, PC
• Maurice Consiglio, D.C.
• Christopher Cook, M.D.
• Jessica Marie Corkery, LPC-MHSP
• Barbara L Corlew, FNP
• Cris Gordon Corley, D.C.
• Jonathan Philip Cornelius, MD

• Family Nurse Practitioner in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.