Individual provider Active NPI

Amanda Moorman Sanford, CRNP FNP-BC

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1730928540
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-119340 Issued in AL
Practice address
41 Eminence Way
Pell City, AL 35128-2337
Phone
(205) 884-9000
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 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 1-119340 AL Primary

Addresses

Primary practice location

41 Eminence Way
Pell City, AL 35128-2337

Mailing address

41 Eminence Way
Pell City, AL 35128-2337
Phone (205) 884-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240812003191 AL Practitioner - Nurse Practitioner 0042758880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unicare Plus PLLCGroup PAC ID 2466820881, 5 clinicians

Practice addresses (Care Compare)

2228 Village Dr
Moody, AL 35004-3241
Phone (659) 223-4010

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-119340ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Physicians Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Unicare Plus, PLLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

2228 Village Dr
Moody, AL 35004
Phone (205) 640-6757

2228 Village Dr
Unit 2
Moody, AL 35004

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1730928540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282337",
            "telephone_number": "205-884-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282337",
            "telephone_number": "205-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "AMANDA",
        "middle_name": "MOORMAN",
        "credential": "CRNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-119340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.