Individual provider Active NPI

Amanda Huie Walton, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1407311996
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-127242 Issued in AL
Practice address
202 Governors Dr SE
Huntsville, AL 35801-2745
Phone
(256) 517-8317
Fax
(256) 715-0058
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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 1-127242 AL Primary

Addresses

Primary practice location

202 Governors Dr SE
Huntsville, AL 35801-2745

Mailing address

910 Adams St SE Ste 300
Huntsville, AL 35801-3757
Phone (256) 533-7420

Other practice location 1

7500 Highway 72 W
Madison, AL 35758-9554
Phone (256) 964-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190610000847 AL Practitioner - Nurse Practitioner 5799018636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinic for Women, P.a.Group PAC ID 7911895610, 11 clinicians

Practice addresses (Care Compare)

910 Adams St SE
Suite 300
Huntsville, AL 35801-3757
Phone (256) 533-7420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-127242ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic for Women PA CurrentSince Sep 1, 2024 Accepting new patients
Clinic for Women, P.a. CurrentSince Sep 1, 2024 Accepting new patients
Quickcare RX LLC PastSince Apr 6, 2019 Accepting new patients
QC Pharmacy LLC PastSince Apr 6, 2019 Accepting new patients

Locations

910 Adams St SE
Ste 300
Huntsville, AL 35801
Phone (256) 533-7420

8337 Highway 72 W
Ste 200
Madison, AL 35758
Phone (256) 533-7420

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1407311996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ADAMS ST SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013757",
            "telephone_number": "256-533-7420",
            "fax_number": "256-536-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GOVERNORS DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358012745",
            "telephone_number": "256-517-8317",
            "fax_number": "256-715-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Highway 72 W",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "AL",
            "postal_code": "357589554",
            "country_code": "US",
            "telephone_number": "256-964-8338",
            "fax_number": "256-964-6918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTON",
        "first_name": "AMANDA",
        "middle_name": "HUIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-127242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.