Active NPI
Amanda Jo Varney, FNP
- Family Nurse Practitioner
- Pikeville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3012689
- Practice address
- 484 Tollage CRK
Pikeville, KY 41501-3305 - Phone
- (606) 230-2255
- Fax
- (606) 437-3001
- NPI assigned
- Nov 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 91087 | WV | |
| Family Nurse Practitioner | 363LF0000X | 3012689 | KY | Primary |
Addresses
Primary practice location
484 Tollage CRK
Pikeville, KY 41501-3305
Mailing address
484 Tollage CRK
Pikeville, KY 41501-3305
Phone (606) 230-2255
Other practice location 1
140 Adams Ln Ste 300
Pikeville, KY 41501-3088
Phone (606) 230-2255
Other practice location 2
183 E 2nd Ave
Williamson, WV 25661-3601
Phone (304) 235-2930
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700354826 | Medicaid | VA | |
| 71000636400 | Medicaid | KY | |
| 1700354826 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3012689 | KY | MD | Family Nurse Practitioner |
| 91087 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Kentucky PLLC | Current | Accepting new patients | |
| Brock Medical, LLC | Current | Accepting new patients | |
| Compassion Services | Past | Accepting new patients |
Locations
110 W John Rowan Blvd
Bardstown, KY 40004
Phone (502) 337-7409
1649 Highway 192 W
London, KY 40741
Phone (606) 330-0055
1649 Highway 192 W
Ste 1
London, KY 40741
Phone (606) 330-0055
Interoperability endpoints
- amanda.varney.1@19494.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.
-
- Rural Health Clinic/Center
- Pikeville, KY
- NPI 1619642972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1700354826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 TOLLAGE CRK",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013305",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001"
}
],
"practiceLocations": [
{
"address_1": "140 Adams Ln Ste 300",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415013088",
"country_code": "US",
"telephone_number": "606-230-2255",
"fax_number": "606-437-3001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "183 E 2nd Ave",
"address_purpose": "LOCATION",
"city": "Williamson",
"state": "WV",
"postal_code": "256613601",
"country_code": "US",
"telephone_number": "304-235-2930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARNEY",
"first_name": "AMANDA",
"middle_name": "JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "91087",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3012689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700354826",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71000636400",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700354826",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.