Individual provider Active NPI

Amanda McDaniel Stisher

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1437619582
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.41858 Issued in AL
Practice address
301 Governors Dr SW
Huntsville, AL 35801-5123
Phone
(256) 551-4422
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.41858 AL Primary

Addresses

Primary practice location

301 Governors Dr SW
Huntsville, AL 35801-5123

Mailing address

301 Governors Dr SW
Huntsville, AL 35801-5123
Phone (256) 551-4422

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220725000107 AL Practitioner - Family Practice 2365775293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Valley FoundationGroup PAC ID 0345130118, 31 clinicians

Practice addresses (Care Compare)

301 Govenors Dr SW
Huntsville, AL 35801-5123
Phone (256) 536-5511

Hospital & facility affiliations

  • Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Valley Foundation CurrentSince Jul 1, 2022 Accepting new patients
HH Physicians Network Family Medicine CurrentSince Jul 1, 2022 Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Locations

401 Lowell Dr SE
Ste 1
Huntsville, AL 35801
Phone (256) 265-4462

301 Governors Dr SW
Huntsville, AL 35801
Phone (256) 536-5511

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

Interoperability endpoints

  • Direct secure messaging: amandastisher@uab.allscriptsdirect.net

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.

Hospital & facility affiliations 2

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1437619582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-551-4422",
            "fax_number": "256-265-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOVERNORS DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015123",
            "telephone_number": "256-551-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STISHER",
        "first_name": "AMANDA",
        "middle_name": "MCDANIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.41858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.