Individual provider Active NPI

Amanda Renee Lawson, FNP-C

  • Family Nurse Practitioner
  • Barbourville, KY
National Provider Identifier
1396378501
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3014277 Issued in KY
Practice address
215 Treuhaft Blvd Ste 3B
Barbourville, KY 40906-7361
Phone
(606) 545-0400
NPI assigned
Feb 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 3014277 KY Primary

Addresses

Primary practice location

215 Treuhaft Blvd Ste 3B
Barbourville, KY 40906-7361

Mailing address

1759 Salt Gum Rd
Scalf, KY 40982-6510
Phone (606) 627-1743

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
I20200504001825 KY Practitioner - Nurse Practitioner 0840621009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3014277KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Memorial Hospital Inc. Family Medicine CurrentSince Feb 20, 2025 Accepting new patients
Memorial Hospital, Inc. Family Current Accepting new patients
Memorial Hospital, Inc. Family Medicine CurrentSince Feb 20, 2025 Accepting new patients

Locations

215 Treuhaft Blvd
Ste 3B
Barbourville, KY 40906
Phone (606) 545-0400

1881 S US Highway 25E
Barbourville, KY 40906
Phone (606) 545-0400

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

515 Memorial Dr
Ste 1
Manchester, KY 40962
Phone (606) 598-4500

12904 Robert L Madon Byp
#2
Pineville, KY 40977
Phone (606) 598-4508

Interoperability endpoints

  • Direct secure messaging: alawsonhubbard4497891@adventhealth.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1396378501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 SALT GUM RD",
            "city": "SCALF",
            "state": "KY",
            "postal_code": "409826510",
            "telephone_number": "606-627-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 TREUHAFT BLVD STE 3B",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409067361",
            "telephone_number": "606-545-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barbourville, KY

Sources for this page

Verify at the official NPI Registry.