Active NPI
Amanda Stovall
- Family Nurse Practitioner
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31154
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Adoration Home Health, LLC
- Enhabit Home Health
- Vanderbilt University Medical Center
- Vanderbilt Tullahoma-Harton Hospital
- Southern Tennessee Regional Health System Winchest
- Vanderbilt Bedford Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31154 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanderbilt Integrated Providers, LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Vanderbilt Integrated Providers, LLC | Family | Current | 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
- 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.
-
- Family Medicine Physician
- Nashville, TN
- NPI 1982625091
-
- General Practice Physician
- Winchester, TN
- NPI 1164789467
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1265210843
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Madison, TN
- NPI 1790161321
-
- Durable Medical Equipment & Medical Supplies
- Tracy City, TN
- NPI 1295824902
Home health agency
-
- Home Health Agency
- Winchester, TN
- NPI 1912985425
-
- Home Health Agency
- Winchester, TN
- NPI 1730137415
-
- General Acute Care Hospital
- Winchester, TN
- NPI 1467408781
-
- General Acute Care Hospital
- Shelbyville, TN
- NPI 1487253449
-
- General Acute Care Hospital
- Tullahoma, TN
- NPI 1831798719
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1396882205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.