Individual provider Active NPI

Amanda Ellis Biermann

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1760045876
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011687 Issued in NC
Practice address
1800 Herring Ave E
Wilson, NC 27893-6727
Phone
(252) 399-2246
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5011687NCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: amanda.biermann.1@29463.direct.athenahealth.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011687 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 Herring Ave E
Wilson, NC 27893-6727

Mailing address

PO Box 840
Pinetops, NC 27864-0840
Phone (528) 137-1172

Other practice location 1

1800 Herring Ave E
Wilson, NC 27893-6727
Phone (252) 399-2238

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 16, 2019.

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1760045876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278640840",
            "telephone_number": "528-137-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HERRING AVE E",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278936727",
            "telephone_number": "252-399-2246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Herring Ave E",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278936727",
            "country_code": "US",
            "telephone_number": "252-399-2238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIERMANN",
        "first_name": "AMANDA",
        "middle_name": "ELLIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.