Active NPI
Amanda Pitts Nummy, CRNP, FNP
- Family Nurse Practitioner
- Montgomery, AL
National Provider Identifier
1770100554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-150901
- Practice address
- 330 Saint Lukes Dr
Montgomery, AL 36117-7108 - Phone
- (334) 270-8864
- Fax
- (334) 270-1176
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-150901 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-150901 | AL | Primary |
Addresses
Primary practice location
330 Saint Lukes Dr
Montgomery, AL 36117-7108
Mailing address
330 Saint Lukes Dr
Montgomery, AL 36117-7108
Phone (334) 270-8864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299508 | Medicaid | AL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander Pediatrics LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients |
Locations
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059
330 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 270-8864
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Centre, AL
- NPI 1932586476
-
- Pediatrics Physician
- Montgomery, AL
- NPI 1548610314
-
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1770100554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SAINT LUKES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177108",
"telephone_number": "334-270-8864",
"fax_number": "334-270-1176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 SAINT LUKES DR",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177108",
"telephone_number": "334-270-8864",
"fax_number": "334-270-1176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUMMY",
"first_name": "AMANDA",
"middle_name": "PITTS",
"credential": "CRNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-150901",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-150901",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "299508",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.