Amanda Nicole Henrie Percival

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-131198 Issued in AL

Practice address

2921 Zelda Rd
Montgomery, AL 36106-2682

Phone

(334) 277-5431

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: amanda.percival@direct.baptistfirst.org

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1689002792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 YOUNG POINTE BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063070",
            "telephone_number": "334-312-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062682",
            "telephone_number": "334-277-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCIVAL",
        "first_name": "AMANDA NICOLE",
        "middle_name": "HENRIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Gray Penton, DMD
• Shearlyn Deanne Peoples, M.D.
• Ashley Lauren Peplow, CRNP
• Pepperell Primary Care, PC
• Peppertown USA, LLC
• Quintarious Marquez Perdue, PHARM.D
• Sergio Andres Perez Beracasa, M.D.
• Lasha Perine, M. ED, ALC
• Adriane Leshaye Perkins
• Ariana Perkins, CSFA

• Family Nurse Practitioner in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.