Individual provider Active NPI

Amanda Grubbs Ranson, FNP-C

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1457134686
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
34371 Issued in TN
Practice address
55 Humphreys Center Dr
Memphis, TN 38120-2374
Phone
(901) 747-0040
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 34371 TN Primary

Addresses

Primary practice location

55 Humphreys Center Dr
Memphis, TN 38120-2374

Mailing address

55 Humphreys Center Dr
Memphis, TN 38120-2374
Phone (901) 747-0040

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
I20240223002517 TN Practitioner - Nurse Practitioner 6800231317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Clxii, LLCGroup PAC ID 1951715952, 3 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 405
Cordova, TN 38018-4227
Phone (901) 343-8100

Hospital & facility affiliations

  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Adoration Home Health Care West Tennessee Home health agency, Cordova, TN, CCN 447564

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34371TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Clxii, LLC Nurse Practitioner CurrentSince Jan 17, 2024 Accepting new patients

Locations

8000 Centerview Pkwy
Ste 405
Cordova, TN 38018
Phone (901) 343-8100

Organizations & group practices 1

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1457134686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202374",
            "telephone_number": "901-747-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HUMPHREYS CENTER DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202374",
            "telephone_number": "901-747-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSON",
        "first_name": "AMANDA",
        "middle_name": "GRUBBS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "34371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.