Amanda Crandell, APRN, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN-3247 Issued in HI

Practice address

17-182B Middle Road
Kurtistown, HI 96760

Phone

(979) 264-5988

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Clinical Education & Research Associates

  • Specialist
  • Honolulu, HI
  • NPI 1013966845
  Medicare reassignment NPD
• University Clinical Education & Research Associates

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1659971489
  NPD
• Saint Marys Medical Group Inc.

  • Primary Care Clinic/Center
  • Reno, NV
  • NPI 1538424239
  NPD
• S&G Labs Hawaii LLC

  • Clinical Medical Laboratory
  • Kailua Kona, HI
  • NPI 1477925188
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1366065542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "967600422",
            "telephone_number": "979-264-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-182B MIDDLE ROAD",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "96760",
            "telephone_number": "979-264-5988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2951 Chimney Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770565937",
            "country_code": "US",
            "telephone_number": "713-880-1950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANDELL",
        "first_name": "AMANDA",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP140180",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "HI",
            "license": "APRN-3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Nicole Akerman
• Jessica Amascual, DOULA
• Robert Peter Burdman
• Cinder & Sage Psychology
• Kristi Efford
• Ann Leialoha Erbe, LMT
• Chian Golden Hsu
• Alexandria King, PSYD
• Lori Loftin, LCSW

• Primary Care Nurse Practitioner in Kurtistown, HI
• Providers in Kurtistown, HI by specialty
• Primary Care Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.