Individual provider Active NPI

Amanda Juanita Harmon, FNP

  • Nurse Practitioner
  • Conway, SC
National Provider Identifier
1578148441
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71017431A Issued in IN
Practice address
300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone
(843) 347-7111
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209029146 IL
Family Nurse Practitioner 363LF0000X 209029146 IL
Nurse Practitioner 363L00000X 24655 SC
Family Nurse Practitioner 363LF0000X APN24655 SC
Nurse Practitioner 363L00000X 71017431A IN Primary

Addresses

Primary practice location

300 Singleton Ridge Rd
Conway, SC 29526-9142

Mailing address

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

Other practice location 1

8741 S Greenwood Ave Ste 106-108
Chicago, IL 60619-7061
Phone (773) 920-2755

Other practice location 2

1320 Main St Ste 351
Columbia, SC 29201-3204
Phone (980) 443-4852

Other practice location 3

3100 45th St Ste 3
Highland, IN 46322-3277
Phone (888) 998-7337

Other names 1

  • Amanda Juanita Harmon-Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20260130000183 IN Practitioner - Nurse Practitioner 3072091164 Reassigns benefits to 1 organization
I20260206000637 IL Practitioner - Nurse Practitioner 3072091164
I20260213001288 SC Practitioner - Nurse Practitioner 3072091164

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1125 17TH St
Suite 1000
Denver, CO 80202-2043

1125 17TH St
Suite 1000
Denver, CO 80202-2092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017431AINMDNurse Practitioner
24655SCMDNurse Practitioner
209029146ILMDFamily Nurse Practitioner
APN24655SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Patient Solutions of Illinois, P.C. CurrentSince Jan 5, 2026 Accepting new patients
Strive Medical Vbe of Illinois, P.C. CurrentSince Jan 5, 2026 Accepting new patients
Integrated Patient Solutions of Indiana, PC CurrentSince Jan 5, 2026 Accepting new patients
Strive Health TX, LLC CurrentSince Jan 5, 2026 Accepting new patients
Strive Health Central, LLC CurrentSince Jan 5, 2026 Accepting new patients
Care Connections of Illinois, P.C. CurrentSince Jan 5, 2026 Accepting new patients
Pennsylvania Kidney Care, P.C. CurrentSince Jan 5, 2026 Accepting new patients

Locations

1125 17th St
Ste 1000
Denver, CO 80202
Phone (855) 962-4638

1600 Stout St
Ste 2000
Denver, CO 80202
Phone (720) 240-5760

8741 S Greenwood Ave
Ste 106108
Chicago, IL 60619
Phone (312) 818-2779

3100 45th St
Ste 3
Highland, IN 46322
Phone (219) 922-6911

1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1578148441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SINGLETON RIDGE RD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269142",
            "telephone_number": "843-347-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8741 S Greenwood Ave Ste 106-108",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197061",
            "country_code": "US",
            "telephone_number": "773-920-2755",
            "fax_number": "866-658-8674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Main St Ste 351",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013204",
            "country_code": "US",
            "telephone_number": "980-443-4852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 45th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223277",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARMON",
        "first_name": "AMANDA",
        "middle_name": "JUANITA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209029146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029146",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "24655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN24655",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HARMON-JENKINS",
            "middle_name": "JUANITA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.