Amanda K Whitley, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024179665 Issued in VA

Practice address

401 Gordon Ave
Bristol, VA 24201-4106

Phone

(276) 791-0046

Fax

(276) 644-1956

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spero Health of Virginia LLCGroup PAC ID 5193102788, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Spero Health of Virginia, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Martinsville, VA
  • NPI 1104465103

  VA

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1467070342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GORDON AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014106",
            "telephone_number": "276-791-0046",
            "fax_number": "276-644-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GORDON AVE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014106",
            "telephone_number": "276-791-0046",
            "fax_number": "276-644-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLEY",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024179665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Weddington
• Wellmont Health System
• Wellmont Medical Associates, Inc.
• Westwood Management Inc.
• Erikah White
• Charles E Williams Jr., PT, CFCE
• Elizabeth Guffey Williams, MS,CCC-SLP
• Melanie M Williams, LCSW
• Kristi Lynn Williamson, COTA/L
• Jessica Morgan Witt, COTA-L

• All providers in Bristol, VA
• Gerontology Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.

Verify at the official NPI Registry.