Individual provider Active NPI

Amanda Alisa Townsend, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1730369612
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R886153 Issued in MS
Practice address
1025 Division Street Suite C
Medical Analysis
Biloxi, MS 39530-2969
Phone
(228) 388-2599
NPI assigned
Nov 8, 2007
Last updated
Sep 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R886153 MS Primary
School Registered Nurse 163WS0200X 1-139768 AL
School Registered Nurse 163WS0200X 405107-COA1 OH

Addresses

Primary practice location

1025 Division Street Suite C
Medical Analysis
Biloxi, MS 39530-2969

Mailing address

1025 Division Street Suite C
Medical Analysis
Biloxi, MS 39530-2969
Phone (228) 388-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
871SCMDAddiction (Substance Use Disorder) Counselor
1-139768ALMDSchool Registered Nurse
405107-COA1OHMDSchool Registered Nurse
R886153MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Mitchell Past Accepting new patients

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, 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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1730369612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 DIVISION STREET SUITE C",
            "address_2": "MEDICAL ANALYSIS",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302969",
            "telephone_number": "228-388-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 DIVISION STREET SUITE C",
            "address_2": "MEDICAL ANALYSIS",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302969",
            "telephone_number": "228-388-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "AMANDA",
        "middle_name": "ALISA",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R886153",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AL",
            "license": "1-139768",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "405107-COA1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.