Active NPI
Amanda Nicole Kralick, NP
- Adult Health Nurse Practitioner
- Brentwood, TN
National Provider Identifier
1720464969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AG0715148
- Practice address
- 8115 Isabella LN Ste 12
Brentwood, TN 37027 - Phone
- (615) 309-0080
- Fax
- (615) 932-7270
- NPI assigned
- Aug 10, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 20353 | SC | |
| Adult Health Nurse Practitioner | 363LA2200X | AG0715148 | TN | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9407584 | FL |
Addresses
Primary practice location
8115 Isabella LN Ste 12
Brentwood, TN 37027
Mailing address
1965 CCC Rd
Dickson, TN 37055-4228
Phone (931) 626-9645
Other practice location 1
1120 Grove Rd
Greenville, SC 29605-4656
Phone (864) 455-8897
Other practice location 2
1120 Grove Rd
Greenville, SC 29605-4656
Phone (864) 455-8897
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016276300 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 71.98 of 100
- Quality
- 27.23
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 75.59
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG0715148 | TN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Greater Memphis Region | Current | Accepting new patients | |
| Steel Family Medicine | Past | Accepting new patients | |
| Planned Parenthood Greater Memphis Region | Past | Accepting new patients |
Locations
2430 Poplar Ave
#100
Memphis, TN 38112
Phone (901) 725-1717
Interoperability endpoints
- amanda.kralick.1@8429.direct.athenahealth.com
- https://api.platform.athenahealth.com/8429/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Family Planning Facility
- Memphis, TN
- NPI 1881995173
-
- Ambulatory Surgical Clinic/Center
- Memphis, TN
- NPI 1447209820
-
- Family Medicine Physician
- Pleasant View, TN
- NPI 1023430824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1720464969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 CCC RD",
"city": "DICKSON",
"state": "TN",
"postal_code": "370554228",
"telephone_number": "931-626-9645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 ISABELLA LN STE 12",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "37027",
"telephone_number": "615-309-0080",
"fax_number": "615-932-7270"
}
],
"practiceLocations": [
{
"address_1": "1120 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054656",
"country_code": "US",
"telephone_number": "864-455-8897",
"fax_number": "864-455-8555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 Grove Rd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296054656",
"country_code": "US",
"telephone_number": "864-455-8897",
"fax_number": "864-455-8555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRALICK",
"first_name": "AMANDA",
"middle_name": "NICOLE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-10",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "20353",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "AG0715148",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9407584",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016276300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.