Active NPI
Amanda Nicole Collins
- Community Health Registered Nurse
- Sevierville, TN
National Provider Identifier
1477338317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 259722
- Practice address
- 719 Middle Creek Rd
Sevierville, TN 37862-5016 - Phone
- (865) 809-3912
- NPI assigned
- Aug 29, 2023
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 259722 | TN | Primary |
Addresses
Primary practice location
719 Middle Creek Rd
Sevierville, TN 37862-5016
Mailing address
230 Hardin LN Apt 104
Sevierville, TN 37862-4550
Phone (865) 809-3912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259722 | TN | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693267200000",
"number": "1477338317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HARDIN LN APT 104",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378624550",
"telephone_number": "865-809-3912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 MIDDLE CREEK RD",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378625016",
"telephone_number": "865-809-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLINS",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-29",
"certification_date": "2023-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "TN",
"license": "259722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.