Amanda S. Ferguson FNP Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14952 Issued in TN

Legal business name

AMANDA S. FERGUSON FNP INC

Practice address

2415 N Gateway Ave
Harriman, TN 37748-8609

Phone

(865) 882-2002

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Smith Ferguson, FNP

Title

Owner

Phone

(865) 882-2002

Specialties & licenses 1

Addresses

Other names 1

• Amanda S. Raymond FNP Inc Former legal business name

Locations

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1649598343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 N GATEWAY AVE",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488609",
            "telephone_number": "865-882-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 N GATEWAY AVE",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488609",
            "telephone_number": "865-882-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA S. FERGUSON FNP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-882-2002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda S. Raymond FNP Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Harriman, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.