Active NPI
Amanda Gaudet, FNP-C
- Family Nurse Practitioner
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4036287
- 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, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4036287 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Community Health Center, Inc. | Current | Accepting new patients | |
| Grace Community Health Center, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1568625648
-
dba Grace Health
- Federally Qualified Health Center (FQHC)
- Corbin, KY
- NPI 1316645344
-
dba Hyden Clinic
- Federally Qualified Health Center (FQHC)
- Hyden, KY
- NPI 1598207557
Family
-
dba Grace Health Levi Center Clinic
- Federally Qualified Health Center (FQHC)
- London, KY
- NPI 1518555168
-
dba Grace Health Mountain View Clinic
- Federally Qualified Health Center (FQHC)
- London, KY
- NPI 1548818537
-
- Federally Qualified Health Center (FQHC)
- Manchester, KY
- NPI 1902048481
Family
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.