Individual provider Active NPI

Amanda Joyce Weissmann, RN NP-C

  • Nurse Practitioner
  • Cold Spring, KY
National Provider Identifier
1639439094
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008640A Issued in IN
Practice address
3700 Alexandria Pike Ste B
Cold Spring, KY 41076-1792
Phone
(859) 999-1546
NPI assigned
May 20, 2012
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008640A IN Primary
Family Nurse Practitioner 363LF0000X APRN.CNP.023377 OH
Family Nurse Practitioner 363LF0000X 3012690 KY
Registered Nurse 163W00000X 28207606A IN
Registered Nurse 163W00000X 1143247 KY
Registered Nurse 163W00000X RN.380473 OH

Addresses

Primary practice location

3700 Alexandria Pike Ste B
Cold Spring, KY 41076-1792

Mailing address

24140 Memorial Dr
Lawrenceburg, IN 47025-7612
Phone (513) 582-7627

Other names 1

  • Amanda Joyce Koenig Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28207606AINMDRegistered Nurse
1143247KYMDRegistered Nurse
RN.380473OHMDRegistered Nurse
71008640AINMDNurse Practitioner
3012690KYMDFamily Nurse Practitioner
APRN.CNP.023377OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1639439094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24140 MEMORIAL DR",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257612",
            "telephone_number": "513-582-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ALEXANDRIA PIKE STE B",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761792",
            "telephone_number": "859-999-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMANN",
        "first_name": "AMANDA",
        "middle_name": "JOYCE",
        "credential": "RN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-20",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008640A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023377",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012690",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28207606A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1143247",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.380473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "KOENIG",
            "middle_name": "JOYCE",
            "credential": "RN-APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cold Spring, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.