Amanda C Ivey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19257 Issued in SC

Practice address

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092

Phone

(803) 631-2858

Fax

(803) 631-2862

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Providence House Calls LLCGroup PAC ID 1759528250, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Embrace Home Health Home health agency, Rock Hill, SC, CCN 427140
• Neighbors Care Home Health Agency, an Amedisys Co Home health agency, Chester, SC, CCN 427063

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Providence House Calls LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rock Hill, SC
  • NPI 1689912495
  Medicare reassignment Care Compare group NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Clover, SC
  • NPI 1568641165
  Medicare reassignment NPD
• Curana Health of South Carolina PC

  • Internal Medicine Physician
  • North Charleston, SC
  • NPI 1316477896
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys SC, L.L.C.

  • Home Health Agency
  • Chester, SC
  • NPI 1629245808
  Care Compare affiliation
• Providence Home Health

  • Home Health Agency
  • Rock Hill, SC
  • NPI 1003374034
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1770970873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VILLAGE HARBOR DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109092",
            "telephone_number": "803-631-2858",
            "fax_number": "803-631-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VILLAGE HARBOR DR",
            "city": "LAKE WYLIE",
            "state": "SC",
            "postal_code": "297109092",
            "telephone_number": "803-631-2858",
            "fax_number": "803-631-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVEY",
        "first_name": "AMANDA",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19257",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Christine Hibberts, PA
• Christine Hogan, MA LPC LCAS CCS
• Robert Anthony Hojnacki, R.P.
• Shannon Howland, D.P,T.
• Jessica Erinn Huren, LMBT
• Ivyrehab Focus, Inc.
• Kyle Richard Kilpatrick II, DMD
• Minal Kohok
• Ariel N. Kunde, DMD
• Lake Wylie

• Family Nurse Practitioner in Lake Wylie, SC
• Providers in Lake Wylie, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; 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.

Verify at the official NPI Registry.