Individual provider Active NPI

Amanda McGuire Johnson, ANP

  • Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1609164193
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005536 Issued in NC
Practice address
700 Shepherd St
Hendersonville, NC 28792-6472
Phone
(828) 559-1591
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9318870 FL
Nurse Practitioner 363L00000X 5005536 NC Primary

Addresses

Primary practice location

700 Shepherd St
Hendersonville, NC 28792-6472

Mailing address

18 Banks Town Rd
Weaverville, NC 28787-9296
Phone (828) 777-3003

Other practice location 1

21 Hospital Dr
4th Floor
Asheville, NC 28801-4550
Phone (828) 253-4262

Other identifiers 1

IdentifierTypeStateIssuer
7006288MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2026 through Oct 1, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Hospitals Inc Current Accepting new patients
Mission Hospital, Inc. Past Accepting new patients
MH Angel Medical Center, LLLP PastSince Sep 1, 2016 Accepting new patients

Locations

21 Hospital Dr
Fl 4
Asheville, NC 28801

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609164193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BANKS TOWN RD",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287879296",
            "telephone_number": "828-777-3003",
            "fax_number": "855-494-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SHEPHERD ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287926472",
            "telephone_number": "828-559-1591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hospital Dr",
            "address_2": "4th Floor",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014550",
            "country_code": "US",
            "telephone_number": "828-253-4262",
            "fax_number": "828-418-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMANDA",
        "middle_name": "MCGUIRE",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9318870",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.