Active NPI
Amanda Joy Gruver
- Nuclear Medicine Technology Radiologic Technologist
- Clarksville, TN
National Provider Identifier
1619891603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- 041700
- Practice address
- 1377 Millet Dr
Clarksville, TN 37040-1519 - Phone
- (910) 728-2785
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 041700 | TN | Primary |
Addresses
Primary practice location
1377 Millet Dr
Clarksville, TN 37040-1519
Mailing address
1377 Millet Dr
Clarksville, TN 37040-1519
Phone (910) 728-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1619891603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MILLET DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370401519",
"telephone_number": "910-728-2785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1377 MILLET DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370401519",
"telephone_number": "910-728-2785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUVER",
"first_name": "AMANDA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "TN",
"license": "041700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.