Amanda Bullock Kanipe, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

KANI-77YRY Issued in NC

Practice address

3980 Highway 9 E Ste 100
Little River, SC 29566-8163

Phone

(843) 390-8320

Fax

(843) 366-3839

NPI assigned

Apr 9, 2022

Last updated

Sep 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLeod Regional Medical Center of the Pee Dee IncGroup PAC ID 7416851852, 401 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Well Care Home Health of the Lowcountry Inc Home health agency, Myrtle Beach, SC, CCN 427138
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• McLeod Loris Hospital Hospital, Loris, SC, CCN 420105

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akanipe83200@directmcleodehealth.org

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.

• McLeod Regional Medical Center of the Pee Dee, Inc

  dba Cbo MRMC Emergency

  • Emergency Medical Services (Emergency Medicine) Physician
  • Florence, SC
  • NPI 1154371433

  Family Medicine

  Medicare reassignment Care Compare group NPD
• McLeod Physician Associates II

  • Family Medicine Physician
  • Florence, SC
  • NPI 1801990494
  Medicare reassignment NPD
• McLeod Physician Associates II

  dba McLeod Orthopaedics - Florence

  • Orthopaedic Surgery Physician
  • Florence, SC
  • NPI 1922555739
  NPD
• McLeod Regional Medical Center of the Pee Dee, Inc

  dba McLeod Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Florence, SC
  • NPI 1871775841
  NPD
• Loris Community Hospital District

  dba Seacoast Primary Care

  • Family Medicine Physician
  • Little River, SC
  • NPI 1144458167
  NPD (past)
• Loris Community Hospital District

  dba Seacoast Pulmonology and Critical Care Associates

  • Critical Care Medicine (Internal Medicine) Physician
  • Loris, SC
  • NPI 1215235064
  NPD (past)
• McLeod Physician Associates II

  dba McLeod Oncology and Hematology Associates

  • Hematology & Oncology Physician
  • Florence, SC
  • NPI 1376846998
  NPD (past)
• Seashore Pediatrics

  • Pediatrics Physician
  • Loris, SC
  • NPI 1265458251
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLeod Loris Seacoast Hospital

  dba Loris Community Hospital

  • General Acute Care Hospital
  • Loris, SC
  • NPI 1306123344
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation
• Well Care Home Health of the Lowcountry

  • Home Health Agency
  • Myrtle Beach, SC
  • NPI 1124536446
  Care Compare affiliation

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1730821844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-390-8320",
            "fax_number": "843-366-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 HIGHWAY 9 E STE 100",
            "city": "LITTLE RIVER",
            "state": "SC",
            "postal_code": "295668163",
            "telephone_number": "843-390-8320",
            "fax_number": "843-366-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIPE",
        "first_name": "AMANDA",
        "middle_name": "BULLOCK",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "KANI-77YRY",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "209719",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27344A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazz & Coco LLC (Jim Bennett Counselor)
• Autumn McKenzie Johnson, MAT, LAT, ATC
• David M. Johnson, MD
• Joined Together Marriage& Family LLC
• Denise Regina Kalin, L.M.T.
• Dan M Kass, M.D.
• Latisha Kearsley, DDS
• Bradley James Keefer, DPM
• Michael H. Kelley, D.O.
• Matthew Wyland Kellner, MD

• Family Nurse Practitioner in Little River, SC
• Providers in Little River, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.

Verify at the official NPI Registry.