Individual provider Active NPI

Amanda Michelle Sanderson, APRN, FNP-C

  • Family Nurse Practitioner
  • South Charleston, WV
National Provider Identifier
1447701388
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN72002-NP-C Issued in WV
Practice address
4610 Kanawha Ave SW Ste 401
South Charleston, WV 25309-1367
Phone
(304) 768-7368
Fax
(304) 768-1829
NPI assigned
Oct 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 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 APRN72002-NP-C WV Primary

Addresses

Primary practice location

4610 Kanawha Ave SW Ste 401
South Charleston, WV 25309-1367

Mailing address

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

Other practice location 1

4605 MacCorkle Ave SW
Thomas Care Clinic
South Charleston, WV 25309-1311
Phone (304) 306-3053

Other practice location 2

6A Bank St
Nitro, WV 25143-1708
Phone (304) 306-3058

Other practice location 3

333 Laidley St
Charleston, WV 25301-1614
Phone (304) 347-6773

Other practice location 4

333 Laidley St Fl 2W
Charleston, WV 25301-1614
Phone (304) 347-6116

Other practice location 5

436 Division St
South Charleston, WV 25309-1402
Phone (304) 766-7236

Other practice location 6

6A Bank St
Nitro, WV 25143-1708
Phone (304) 306-3058

Other names 1

  • Amanda Michelle Litton Professional name

Electronic endpoints 7

TypeEndpointUseAffiliation
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com
Direct Messaging Address amanda.sanderson@thomashealthsystem.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20161220001432 WV Practitioner - Nurse Practitioner 4486935053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians

Practice addresses (Care Compare)

436 Division St
South Charleston, WV 25309-1402
Phone (304) 766-7236

Hospital & facility affiliations

  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN72002-NP-CWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of West Virginia-Wheeling, PLLC CurrentSince Feb 29, 2020 Accepting new patients
Posh Medical LLC Family Current Accepting new patients
THS Physician Partners Inc Family CurrentSince Oct 31, 2016 Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC CurrentSince Jan 17, 2017 Accepting new patients

Locations

L3539
Columbus, OH 43260
Phone (304) 414-4800

333 Laidley St
Fl 2W
Charleston, WV 25301
Phone (304) 347-6116

333 Laidley St
Charleston, WV 25301
Phone (304) 347-6116

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

6A Bank St
Nitro, WV 25143
Phone (304) 306-3058

100 Peyton Way
Ste 200
South Charleston, WV 25309
Phone (904) 638-6147

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

436 Division St
South Charleston, WV 25309
Phone (304) 766-7236

4610 Kanawha Ave SW
Ste 401
South Charleston, WV 25309
Phone (304) 768-7368

2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-0123

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 12

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": "1476489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1447701388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MACCORKLE AVE SW",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091311",
            "telephone_number": "304-414-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 KANAWHA AVE SW STE 401",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091367",
            "telephone_number": "304-768-7368",
            "fax_number": "304-768-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4605 MacCorkle Ave SW",
            "address_2": "Thomas Care Clinic",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091311",
            "country_code": "US",
            "telephone_number": "304-306-3053",
            "fax_number": "304-306-3054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6A Bank St",
            "address_purpose": "LOCATION",
            "city": "Nitro",
            "state": "WV",
            "postal_code": "251431708",
            "country_code": "US",
            "telephone_number": "304-306-3058",
            "fax_number": "304-306-3059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6773",
            "fax_number": "304-347-6848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 Laidley St Fl 2W",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011614",
            "country_code": "US",
            "telephone_number": "304-347-6116",
            "fax_number": "304-347-6117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "436 Division St",
            "address_purpose": "LOCATION",
            "city": "South Charleston",
            "state": "WV",
            "postal_code": "253091402",
            "country_code": "US",
            "telephone_number": "304-766-7236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6A Bank St",
            "address_purpose": "LOCATION",
            "city": "Nitro",
            "state": "WV",
            "postal_code": "251431708",
            "country_code": "US",
            "telephone_number": "304-306-3058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "AMANDA",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN72002-NP-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4610 Kanawha Ave SW Ste 401",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "4605 MacCorkle Ave SW",
            "address_2": "Thomas Care Clinic",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "6A Bank St",
            "city": "Nitro",
            "state": "WV",
            "country_code": "US",
            "postal_code": "251431708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "436 Division St",
            "city": "South Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253091402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St Fl 2W",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.sanderson@thomashealthsystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "333 Laidley St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LITTON",
            "middle_name": "MICHELLE",
            "credential": "APRN, FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.