Active NPI
Amanda June Markand, NP
- Nurse Practitioner
- Plymouth, IN
National Provider Identifier
1477860617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71003390A
- Practice address
- 2855 Miller Dr Ste 205
Plymouth, IN 46563-8093 - Phone
- (317) 696-9515
- Fax
- (844) 696-0732
- NPI assigned
- Sep 9, 2010
- Last updated
- Jan 30, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71003390A | IN | Primary |
Addresses
Primary practice location
2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Mailing address
4960 E Daisy LN
Mooresville, IN 46158-5505
Phone (317) 696-9515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28147343A | Other | IN | INDIANA LICENSE |
| FO710407 | Other | IN | AANP |
| 200998640 | Medicaid | IN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Emergency Associates | Past | Accepting new patients | |
| Creek Settlement Inpatient Services LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1912295981
-
- Personal Emergency Response Attendant
- Indianapolis, IN
- NPI 1053366922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1477860617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4960 E DAISY LN",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461585505",
"telephone_number": "317-696-9515",
"fax_number": "844-696-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MILLER DR STE 205",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465638093",
"telephone_number": "317-696-9515",
"fax_number": "844-696-0732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKAND",
"first_name": "AMANDA",
"middle_name": "JUNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-09",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71003390A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE",
"identifier": "28147343A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "FO710407",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200998640",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.