Active NPI
Amanda Rae Rogers, FNP-C
- Family Nurse Practitioner
- Hopkinsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013886
- Practice address
- 320 W 18TH St
Hopkinsville, KY 42240-1965 - Phone
- (270) 887-0100
- NPI assigned
- Sep 23, 2019
- Last updated
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013886 | KY | Primary |
| Registered Nurse | 163W00000X | 0000229755 | TN |
Addresses
Primary practice location
320 W 18TH St
Hopkinsville, KY 42240-1965
Mailing address
3827 Man O War Blvd
Clarksville, TN 37042-7270
Phone (270) 881-6288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000229755 | TN | MD | Registered Nurse |
| 3013886 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Medical, LLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Fep of Kentucky LLC | Current | Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
2955 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 632-1548
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Hopkinsville, KY
- NPI 1770266553
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1336790260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3827 MAN O WAR BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427270",
"telephone_number": "270-881-6288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 18TH ST",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401965",
"telephone_number": "270-887-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "AMANDA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013886",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000229755",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
- Heather C. Robinson-Curtis, P.T., D.I.
- Matthew Scott Robinson, MD
- Marshele Robison, LCSW
- Marchigiani Rodriguez
- Rhea 'Alison' Rogers-Keith, L.M.F.T. AND CADC
- Jennifer Lynn Rogers
- Monrell Rogers
- Roho Enterprises Inc (Save More LTC Pharmacy)
- Rachel C Rome, MD
- Ronald a. Gravil, DMD, P.S.C. (Affordable Dentures & Implants - Hopkinsville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.