Amanda Stites, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F01221098 Issued in MO

Practice address

1010 E Scenic Rivers Blvd
Salem, MO 65560-2820

Phone

(573) 729-3106

NPI assigned

Feb 10, 2022

Last updated

Aug 28, 2025By the provider in NPPES

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

Other names 1

• Amanda Head Former name

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dent County Health Center

  • Public Health or Welfare Agency
  • Salem, MO
  • NPI 1598932733
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657

  Family

  Medicare reassignment NPD
• South Central Missouri Community Health Center

  dba Four Rivers Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Rolla, MO
  • NPI 1164669172
  Medicare reassignment NPD
• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Hollister, MO
  • NPI 1053350454
  NPD
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1508510298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 E SCENIC RIVERS BLVD",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655602820",
            "telephone_number": "573-729-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 E SCENIC RIVERS BLVD",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655602820",
            "telephone_number": "573-729-3106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1081 E 18th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012448",
            "country_code": "US",
            "telephone_number": "573-426-4455",
            "fax_number": "573-426-4454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 S McArthur St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655602132",
            "country_code": "US",
            "telephone_number": "573-453-9138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 W Rolla Rd",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MO",
            "postal_code": "655601233",
            "country_code": "US",
            "telephone_number": "573-729-6225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STITES",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F01221098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HEAD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• South Central Missouri Community Health Center (Four Rivers Pharmacy Salem)
• Emma Southards, M.A., CF-SLP
• Yazhini Srivathsal, M.B.B.S.
• St Johns Clinic Inc (SJC-Salem)
• Dawn Stewart, LPN
• Linda J Tarvin, APRN, BC, FNP
• Craig Tatom, APN
• Steven Taylor, LPC
• Tenda Group (Salem Care Center)
• Lauren Elizabeth Thompson, RN ADN

• Family Nurse Practitioner in Salem, MO
• Providers in Salem, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.