Individual provider Active NPI

Amanda Nicole Kralick, NP

  • Adult Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1720464969
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AG0715148 Issued in TN
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

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
016276300MedicaidFL

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
I20190204000280 TN Practitioner - Nurse Practitioner 2668774837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
71.98 of 100Reported as group
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

LicenseStateTypeSpecialty
AG0715148TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Greater Memphis Region CurrentSince Jan 3, 2023 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

  • Direct secure messaging: amanda.kralick.1@8429.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.