Individual provider Active NPI

Amanda Gaudet, FNP-C

  • Family Nurse Practitioner
  • Corbin, KY
National Provider Identifier
1346049434
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4036287 Issued in KY
Practice address
14662 N US Highway 25 E
Corbin, KY 40701-6425
Phone
(606) 526-9005
NPI assigned
Mar 11, 2025
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 4036287 KY Primary

Addresses

Primary practice location

14662 N US Highway 25 E
Corbin, KY 40701-6425

Mailing address

137 Blossom Ridge Dr
Corbin, KY 40701-4192
Phone (606) 524-0080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250428000634 KY Practitioner - Nurse Practitioner 2567988140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4036287KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Community Health Center, Inc. CurrentSince Apr 18, 2025 Accepting new patients
Grace Community Health Center, Inc. CurrentSince Apr 18, 2025 Accepting new patients
Grace Community Health Center, Inc. Past Accepting new patients
Grace Community Health Center, Inc. Past Accepting new patients
Grace Community Health Center Inc Family Past Accepting new patients
Grace Community Health Center, Inc. Family Past Accepting new patients

Locations

1019 Cumberland Falls Hwy
Ste B201
Corbin, KY 40701

14662 N US Highway 25 E
Corbin, KY 40701
Phone (606) 526-9005

21154 Highway 421
Hyden, KY 41749
Phone (606) 672-1208

272 London Mountain View Dr
London, KY 40741
Phone (606) 231-2614

934 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 526-8604

85 Highway 80
Manchester, KY 40962
Phone (606) 596-0410

313 S Cherry St
Pineville, KY 40977
Phone (606) 654-3338

Interoperability endpoints

  • Direct secure messaging: agaudet806352@direct.ochin.org

Organizations & group practices 6

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1346049434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 BLOSSOM RIDGE DR",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014192",
            "telephone_number": "606-524-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14662 N US HIGHWAY 25 E",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016425",
            "telephone_number": "606-526-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUDET",
        "first_name": "AMANDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4036287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

Verify at the official NPI Registry.