Active NPI
Amanda Harris
- Family Nurse Practitioner
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5008670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5008670 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Branches of Hickory Healthcare PLLC | Current | 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
- amanda.harris.1@29919.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Hickory, NC
- NPI 1659025393
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1801823349
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.