Individual provider Active NPI

Amanda Rose Joliet, NP-C

  • Family Medicine Physician
  • Cleveland, TN
National Provider Identifier
1497519607
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35821 Issued in TN
Practice address
101 Keith St SW
Cleveland, TN 37311-5804
Phone
(256) 557-8912
NPI assigned
Feb 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35821 TN Primary

Addresses

Primary practice location

101 Keith St SW
Cleveland, TN 37311-5804

Mailing address

101 Keith St SW
Cleveland, TN 37311-5804
Phone (256) 557-8912

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
I20240709003353 TN Practitioner - Nurse Practitioner 4486199924 Reassigns benefits to 2 organizations

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
Erlanger HealthGroup PAC ID 1153780226, 504 clinicians

Practice addresses (Care Compare)

101 Keith St SW
Cleveland, TN 37311-5804
Phone (423) 779-9671

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35821TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erlanger Health Family Medicine CurrentSince May 5, 2024 Accepting new patients
Erlanger Health CurrentSince May 5, 2024 Accepting new patients
Chattanooga Hamilton County Hospital Authority Family Medicine Past Accepting new patients

Locations

4312 Holiday Inn Express Way NW
Ste 202
Cleveland, TN 37312
Phone (423) 778-8523

101 Keith St SW
Cleveland, TN 37311
Phone (423) 778-9671

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Organizations & group practices 4

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 1

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": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710633600000",
    "number": "1497519607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KEITH ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115804",
            "telephone_number": "256-557-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KEITH ST SW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373115804",
            "telephone_number": "256-557-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLIET",
        "first_name": "AMANDA",
        "middle_name": "ROSE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "35821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.