Individual provider Active NPI

Amanda Joanne Whitworth, APRN, FNP-C

  • Family Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1720809049
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37447 Issued in TN
Practice address
1321 Sam Houston Ave
Murfreesboro, TN 37129-7689
Phone
(615) 648-2200
NPI assigned
Oct 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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 37447 TN Primary

Addresses

Primary practice location

1321 Sam Houston Ave
Murfreesboro, TN 37129-7689

Mailing address

1321 Sam Houston Ave
Murfreesboro, TN 37129-7689
Phone (615) 648-2200

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
I20250305003077 TN Practitioner - Nurse Practitioner 7719408830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tennessee Medicine and Pediatrics PCGroup PAC ID 7719873934, 11 clinicians

Practice addresses (Care Compare)

741 President PL
Suite 200
Smyrna, TN 37167-6809
Phone (615) 721-9676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
37447TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Medicine & Pediatrics PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

741 President Pl
Ste 200
Smyrna, TN 37167
Phone (615) 459-7104

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1720809049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 SAM HOUSTON AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371297689",
            "telephone_number": "615-648-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 SAM HOUSTON AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371297689",
            "telephone_number": "615-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWORTH",
        "first_name": "AMANDA",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.