Amanda L Johnson, CPNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

23469 Issued in TN

Practice address

108 Brenray Dr
Harriman, TN 37748-5148

Phone

(423) 817-5085

NPI assigned

Jan 17, 2018

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 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

Merit-based Incentive Payment System (MIPS)

Final score

78.55 of 100Reported as group

Quality

68.46

Promoting interoperability

99

Improvement activities

40

Cost

60.87

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Allergy Associates, P.a.

  • Specialist
  • Knoxville, TN
  • NPI 1073508347
  Medicare reassignment NPD
• Allergy Associates, PA

  • Specialist
  • Lenoir City, TN
  • NPI 1548411911
  NPD
• Allergy Associates, PA

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1932566734
  NPD
• Allergy Associates PA

  • Specialist
  • Crossville, TN
  • NPI 1033371398
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1508374174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY STE 145",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201546",
            "telephone_number": "653-059-7498",
            "fax_number": "865-305-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BRENRAY DR",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377485148",
            "telephone_number": "423-817-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "CPNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "23469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HQM of Harriman, LLC
• Monica Y. Hughes
• Nickola Snow Jefferson, FNP
• Amy A Jenkins, FNP
• Frances Jenkins
• Mable Johnson, DPT
• Emily Eble Jones, PHARM.D
• Michelle Lynn Jones, LMSW
• Rebecca T Jordan, PTA
• Jennifer Lynn Jordon, MS, OTR

• Pediatric Nurse Practitioner in Harriman, TN
• Providers in Harriman, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.