Individual provider Active NPI

Amanda Stovall

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1457006249
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31154 Issued in TN
Practice address
1805 N Jackson St
Tullahoma, TN 37388-2290
Phone
(615) 322-5000
NPI assigned
Feb 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 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 31154 TN Primary

Addresses

Primary practice location

1805 N Jackson St
Tullahoma, TN 37388-2290

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice location 1

491 Majors Blvd
Lynchburg, TN 37352-8344
Phone (931) 759-4727

Other practice location 2

3601 The Vanderbilt Clinic
Nashville, TN 37232-8344
Phone (615) 322-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20220708001380 TN Practitioner - Nurse Practitioner 9830579853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanderbilt Integrated Providers LLCGroup PAC ID 7012817919, 82 clinicians

Practice addresses (Care Compare)

1400 Willow Dr
Manchester, TN 37355-2438
Phone (931) 409-2194

1801 N Jackson St
Tullahoma, TN 37388-8259
Phone (931) 393-3000

1805 N Jackson St
Tullahoma, TN 37388-2290
Phone (931) 461-4521

Hospital & facility affiliations

  • Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Enhabit Home Health Home health agency, Winchester, TN, CCN 447108
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31154TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt Integrated Providers, LLC CurrentSince Aug 1, 2024 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jun 1, 2022 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jun 1, 2022 Accepting new patients
Vanderbilt Integrated Providers, LLC Family CurrentSince Aug 1, 2024 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

491 Majors Blvd
Lynchburg, TN 37352
Phone (931) 759-4727

1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194

3841 Green Hills Village Dr
Ste 200
Nashville, TN 37215
Phone (615) 322-6842

1805 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 455-7767

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: astovall654922@direct.vumc.org

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 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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1457006249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 GREEN HILLS VILLAGE DR STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882290",
            "telephone_number": "615-322-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "491 Majors Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "TN",
            "postal_code": "373528344",
            "country_code": "US",
            "telephone_number": "931-759-4727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372328344",
            "country_code": "US",
            "telephone_number": "615-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.