Individual provider Active NPI

Amanda Kennedy

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1669376299
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
41089 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 410
Memphis, TN 38104-7540
Phone
(901) 261-6650
NPI assigned
Oct 6, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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 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.

Verify at the official NPI Registry.