Active NPI
Amanda Kennedy
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1669376299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 41089
- Practice address
- 1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540 - Phone
- (901) 261-6650
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 13, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 41089 | TN | Primary |
Addresses
Primary practice location
1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Mailing address
PO Box 381468
Germantown, TN 38183-1468
Other practice location 1
1324 Wolf Park Dr
Germantown, TN 38138-1741
Phone (901) 755-9010
Other practice location 2
8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1755
Phone (901) 747-3630
Other practice location 3
3350 N Germantown Rd
Bartlett, TN 38133-4026
Phone (901) 377-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1669376299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381468",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 EASTMORELAND AVE STE 410",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047540",
"telephone_number": "901-261-6650"
}
],
"practiceLocations": [
{
"address_1": "1324 Wolf Park Dr",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381741",
"country_code": "US",
"telephone_number": "901-755-9010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8000 Wolf River Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381755",
"country_code": "US",
"telephone_number": "901-747-3630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3350 N Germantown Rd",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381334026",
"country_code": "US",
"telephone_number": "901-377-2111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "41089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.