NPIMap

Individual provider Active NPI

Amanda Renee Nunez, FNP

  • Family Nurse Practitioner
  • Midland, NC
National Provider Identifier
1548729239
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011631 Issued in NC
Practice address
12925 Highway 601
Ste 300
Midland, NC 28107-9535
Phone
(704) 888-3702
NPI assigned
Mar 13, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Carolinas Physicians Network Inc 2,324 clinicians
Comprehab, Inc 376 clinicians

Practice addresses (Care Compare)

12925 Hwy 601
Suite 300
Midland, NC 28107-9536
Phone (704) 888-3702

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110003186 NC Practitioner - Nurse Practitioner 6002226685 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 23, 2023 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 23, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 30, 2024 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Aug 29, 2020 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Aug 29, 2020 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 30, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

7903 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (704) 316-4460

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

14214 Ballantyne Lake Rd
Charlotte, NC 28277
Phone (704) 667-2600

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

12925 Highway 601
Ste 300
Midland, NC 28107
Phone (704) 258-2444

Interoperability endpoints

  • Direct secure messaging: anunez2706832@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011631 NC
Family Nurse Practitioner 363LF0000X 5011631 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

12925 Highway 601
Ste 300
Midland, NC 28107-9535

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address anunez2706832@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2024.

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1548729239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12925 HIGHWAY 601",
            "address_2": "STE 300",
            "city": "MIDLAND",
            "state": "NC",
            "postal_code": "281079535",
            "telephone_number": "704-888-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2024-07-15",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011631",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anunez2706832@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "12925 Highway 601",
            "address_2": "Ste 300",
            "city": "Midland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281079535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Midland, NC

Sources for this page

Verify at the official NPI Registry.