Amanda Soudom, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4015068 Issued in KY

Practice address

534 Hillcrest Dr
Brandenburg, KY 40108-1296

Phone

(270) 422-5000

Fax

(270) 422-5052

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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 KY

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caresouth HHA Holdings of Winchester, LLC Dba Enhabit Home Health Home health agency, Owensboro, KY, CCN 187087
• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012

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.

• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment Care Compare group NPD
• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Hazard, KY
  • NPI 1417696543
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  KY

  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Brandenburg, KY
  • NPI 1558984633
  NPD
• BHG Lviii, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Corbin, KY
  • NPI 1376282426
  NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1780961300
  NPD (past)
• BHG Xxxiv, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Corbin, KY
  • NPI 1578986345
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation
• Caresouth HHA Holdings of Winchester, LLC

  • Home Health Agency
  • Owensboro, KY
  • NPI 1902341399
  Care Compare affiliation

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1467223685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081296",
            "telephone_number": "270-422-5000",
            "fax_number": "270-422-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HILLCREST DR",
            "city": "BRANDENBURG",
            "state": "KY",
            "postal_code": "401081296",
            "telephone_number": "270-422-5000",
            "fax_number": "270-422-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUDOM",
        "first_name": "AMANDA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4015068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ryan, LCSW
• Holly Schultz Pollock, APRN
• Felicia L Schultz
• Alicia R Simmons, APRN
• Robert Eugene Smith, M.D.
• Cristin A Stapler, DPT
• Megan Suzanne Staples, PHARMD
• Sharron K Stegner, APRN
• Steps of Success
• Lisa Melanie Stewart

• Family Nurse Practitioner in Brandenburg, KY
• Providers in Brandenburg, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.