Individual provider Active NPI

Amanda Harris

  • Family Nurse Practitioner
  • Hickory, NC
National Provider Identifier
1770934713
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008670 Issued in NC
Practice address
912 2ND St NE Ste 4
Hickory, NC 28601-3880
Phone
(828) 979-0955
Fax
(833) 450-6248
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 5008670 NC Primary

Addresses

Primary practice location

912 2ND St NE Ste 4
Hickory, NC 28601-3880

Mailing address

5810 Walnut Grove LN
Hickory, NC 28602-8817
Phone (828) 979-0955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20161004002049 NC Practitioner - Nurse Practitioner 9335437581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

912 2ND St NE
Suite 4
Hickory, NC 28601-3851
Phone (828) 979-0955

Hospital & facility affiliations

  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5008670NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Branches of Hickory Healthcare PLLC CurrentSince Aug 6, 2022 Accepting new patients

Locations

36 14th Ave NE
Ste 103
Hickory, NC 28601
Phone (828) 345-6468

912 2nd St NE
Ste 4
Hickory, NC 28601
Phone (828) 979-0955

Interoperability endpoints

  • Direct secure messaging: amanda.harris.1@29919.direct.athenahealth.com
  • Direct secure messaging: amanda.harris-wellness.1@29919.direct.athenahealth.com

Organizations & group practices 1

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1770934713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 WALNUT GROVE LN",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286028817",
            "telephone_number": "828-979-0955",
            "fax_number": "833-450-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 2ND ST NE STE 4",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013880",
            "telephone_number": "828-979-0955",
            "fax_number": "833-450-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.