NPIMap

Individual provider Active NPI

Amanda E Ford, APRN, FNP-C

  • Family Nurse Practitioner
  • Hot Springs, AR
National Provider Identifier
1417532292
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
214804 Issued in AR
Practice address
2825 Albert Pike Rd
Hot Springs, AR 71913-2619
Phone
(501) 767-9111
NPI assigned
Mar 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 214804 AR Primary

Addresses

Primary practice location

2825 Albert Pike Rd
Hot Springs, AR 71913-2619

Mailing address

101 Wedgewood Ter
Hot Springs, AR 71901-7325
Phone (501) 282-1769

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aford2@stvincenthealth.com Direct CHI St. Vincent Hot Springs

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428000090 AR Practitioner - Nurse Practitioner 8426466657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fands Physical Therapy, IncGroup PAC ID 7810898459, 217 clinicians

Practice addresses (Care Compare)

1414 Hwy 71 N
Alma, AR 72921-4723
Phone (479) 632-0321

2825 Albert Pike Rd
Hot Springs National Park, AR 71913-2619
Phone (501) 767-9111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214804ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St. Vincent Medical Group Hot Springs CurrentSince Jun 13, 2021 Accepting new patients
Hot Springs MRI Center Past Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

2825 Albert Pike Rd
Hot Springs National Park, AR 71913
Phone (501) 767-9111

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1615593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1417532292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WEDGEWOOD TER",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719017325",
            "telephone_number": "501-282-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 ALBERT PIKE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719132619",
            "telephone_number": "501-767-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "214804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aford2@stvincenthealth.com",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "CHI St. Vincent Hot Springs",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "300 Werner St",
            "city": "Hot Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "719136406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.