Active NPI
Amanda Crain
- Family Nurse Practitioner
- Fair Grove, MO
National Provider Identifier
1710884572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2026050644
- Practice address
- 8502 E Farm Road 2
Fair Grove, MO 65648-8152 - Phone
- (620) 215-5806
- NPI assigned
- Oct 23, 2026
- Last updated
- Oct 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2026050644 | MO | Primary |
Addresses
Primary practice location
8502 E Farm Road 2
Fair Grove, MO 65648-8152
Mailing address
8502 E Farm Road 2
Fair Grove, MO 65648-8152
Phone (620) 215-5806
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": "1792713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792713600000",
"number": "1710884572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8502 E FARM ROAD 2",
"city": "FAIR GROVE",
"state": "MO",
"postal_code": "656488152",
"telephone_number": "620-215-5806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8502 E FARM ROAD 2",
"city": "FAIR GROVE",
"state": "MO",
"postal_code": "656488152",
"telephone_number": "620-215-5806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-23",
"last_updated": "2026-10-23",
"certification_date": "2026-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2026050644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Grove, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.