Individual provider Active NPI

Amanda Hope Dunbar

  • Nurse Practitioner
  • Ashland, KY
National Provider Identifier
1770353633
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4038625 Issued in KY
Practice address
613 23Rd St Ste G10
Ashland, KY 41101-2886
Phone
(606) 408-5864
NPI assigned
Jan 3, 2024
Last updated
Jun 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 117625 WV
Nurse Practitioner 363L00000X 4038625 KY Primary

Addresses

Primary practice location

613 23Rd St Ste G10
Ashland, KY 41101-2886

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20250703003226 KY Practitioner - Nurse Practitioner 2668986472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

613 23Rd St
Suite G10
Ashland, KY 41101-2886
Phone (606) 408-5864

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
117625WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Nurse Practitioner CurrentSince Jun 23, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jun 23, 2025 Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Current Accepting new patients
Kings Daughters Medical Specialties Inc Nurse Practitioner Past Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

613 23rd St
Ste G10
Ashland, KY 41101
Phone (606) 329-1997

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

Organizations & group practices 4

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.

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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1770353633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE G10",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012886",
            "telephone_number": "606-408-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "AMANDA",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "117625",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4038625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.