Individual provider Active NPI

Amanda Dunning, N.P.

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1699005926
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5001274 Issued in NC
Practice address
4209 Lassiter Mill Rd Ste 133
Raleigh, NC 27609-5883
Phone
(919) 510-5919
NPI assigned
Jan 8, 2010
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5001274 NC Primary

Addresses

Primary practice location

4209 Lassiter Mill Rd Ste 133
Raleigh, NC 27609-5883

Mailing address

4209 Lassiter Mill Rd Ste 133
Raleigh, NC 27609-5883
Phone (919) 510-5919

Other names 1

  • Mrs. Amanda R Gallagher Former 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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5001274NCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1699005926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LASSITER MILL RD STE 133",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095883",
            "telephone_number": "919-510-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 LASSITER MILL RD STE 133",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095883",
            "telephone_number": "919-510-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNING",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5001274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GALLAGHER",
            "middle_name": "R",
            "prefix": "MRS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.