Individual provider Active NPI

Amanda Jurls, MSN, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1588092142
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18154 Issued in TN
Practice address
2400 White Ave
Nashville, TN 37204-2235
Phone
(615) 460-4200
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000190142 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18154 TN Primary

Addresses

Primary practice location

2400 White Ave
Nashville, TN 37204-2235

Mailing address

6012A Deal Ave
Nashville, TN 37209-1702

Other practice location 1

1921 Ransom Pl
Nashville, TN 37217-3841
Phone (615) 279-6700

Other practice location 2

230 Venture Cir
Nashville, TN 37228-1604
Phone (615) 460-4200 ext. 460

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
I20140317001712 TN Practitioner - Nurse Practitioner 3870724750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerstone of Tennessee, Inc.Group PAC ID 9739088113, 114 clinicians

Practice addresses (Care Compare)

2400 White Ave
Nashville, TN 37204-2235
Phone (615) 460-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN0000190142TNMDRegistered Nurse
18154TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerstone of Tennessee, Inc. CurrentSince Jan 8, 2014 Accepting new patients
Centerstone of Tennessee, Inc. CurrentSince Jan 8, 2014 Accepting new patients

Locations

620 Gallatin Pike S
Madison, TN 37115
Phone (615) 460-4300

1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700

2400 White Ave
Nashville, TN 37204
Phone (615) 460-4200

230 Venture Cir
Nashville, TN 37228
Phone (615) 460-4100

Organizations & group practices 3

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": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1588092142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012A DEAL AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WHITE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042235",
            "telephone_number": "615-460-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 Ransom Pl",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173841",
            "country_code": "US",
            "telephone_number": "615-279-6700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Venture Cir",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372281604",
            "country_code": "US",
            "telephone_number": "615-460-4200 x460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JURLS",
        "first_name": "AMANDA",
        "credential": "MSN, APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2021-04-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000190142",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "18154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.