Individual provider Active NPI

Amelia Brooke Fitchpatrick, MSN, FNP-C

  • Family Nurse Practitioner
  • Bean Station, TN
National Provider Identifier
1609759893
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
39325 Issued in TN
Practice address
1030 Main St
Bean Station, TN 37708-4257
Phone
(865) 935-0136
NPI assigned
Jul 28, 2025
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 39325 TN Primary

Addresses

Primary practice location

1030 Main St
Bean Station, TN 37708-4257

Mailing address

301 Scenic Oak Dr
Johnson City, TN 37615-4964
Phone (678) 371-9388

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Medical Park Blvd
Suite 305E
Bristol, TN 37620-7447

301 Scenic Oak Dr
Johnson City, TN 37615-4964

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39325TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1609759893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCENIC OAK DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376154964",
            "telephone_number": "678-371-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MAIN ST",
            "city": "BEAN STATION",
            "state": "TN",
            "postal_code": "377084257",
            "telephone_number": "865-935-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCHPATRICK",
        "first_name": "AMELIA",
        "middle_name": "BROOKE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "39325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bean Station, TN

Sources for this page

Verify at the official NPI Registry.