Individual provider Active NPI

Amanda Ellen Lane, APRN, FNP-BC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1699494997
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000030769 Issued in TN
Practice address
10805 Harding Dr
Knoxville, TN 37932-3240
Phone
(865) 675-6444
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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 APN0000030769 TN Primary

Addresses

Primary practice location

10805 Harding Dr
Knoxville, TN 37932-3240

Mailing address

3912 Lake Valley CT
Kingsport, TN 37664-5197
Phone (423) 956-4419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205000317 TN Practitioner - Nurse Practitioner 5092163840 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Urgent Care, PLLCGroup PAC ID 1355673815, 3 clinicians

Practice addresses (Care Compare)

606 N Broad St
New Tazewell, TN 37825-6610
Phone (423) 626-0466

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Amedisys Home Health Care Home health agency, Abingdon, VA, CCN 497566
  • Amedisys Home Health Care Home health agency, Morristown, TN, CCN 447190
  • Amedisys Home Health Care Home health agency, Elizabethton, TN, CCN 447505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000030769TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Urgent Care PLLC CurrentSince Jul 13, 2024 Accepting new patients
Summit View Health Services, LLC Family CurrentSince Oct 14, 2023 Accepting new patients
Summit View Health Services LLC Family CurrentSince Oct 14, 2023 Accepting new patients

Locations

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

5261 Carrollton Pike
Ste C
Woodlawn, VA 24381
Phone (276) 238-0911

Interoperability endpoints

  • Direct secure messaging: amanda.lane.1@27515.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1699494997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 LAKE VALLEY CT",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645197",
            "telephone_number": "423-956-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10805 HARDING DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323240",
            "telephone_number": "865-675-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000030769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.