Individual provider Active NPI

Amanda Kaye Manley, APRN

  • Family Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1427541630
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A005481 Issued in AR
Practice address
9500 Baptist Health Dr Ste 100
Little Rock, AR 72205
Phone
(501) 224-5500
Fax
(501) 224-1166
NPI assigned
Jun 12, 2018
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005481 AR Primary
Gerontology Nurse Practitioner 363LG0600X A005481 AR

Addresses

Primary practice location

9500 Baptist Health Dr Ste 100
Little Rock, AR 72205

Mailing address

9500 Baptist Health Dr Ste 100
Little Rock, AR 72205-6319
Phone (501) 224-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20180725001556 AR Practitioner - Nurse Practitioner 2961759741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Healthcare of Arkansas PLLCGroup PAC ID 1658890595, 48 clinicians
Cornerstone Clinic for WomenGroup PAC ID 5092629352, 19 clinicians

Practice addresses (Care Compare)

9500 Baptist Health Dr
Suite 100
Little Rock, AR 72205-6340
Phone (501) 224-5500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Healthcare of Arkansas PLLC Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Cornerstone Clinic for Women Single Specialty CurrentSince Jun 18, 2018 Accepting new patients
Cornerstone Clinic for Women, PA PastSince Jun 1, 2025 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1701 Aldersgate Rd
Ste 4
Little Rock, AR 72205
Phone (501) 224-5500

9500 Baptist Health Dr
Ste 100
Little Rock, AR 72205
Phone (501) 224-5500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEJBD

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

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1427541630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056319",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BAPTIST HEALTH DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-224-5500",
            "fax_number": "501-224-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "AMANDA",
        "middle_name": "KAYE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005481",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A005481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.