Individual provider Active NPI

Amanda Dulaney, FNP-C

  • Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1801476270
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29135 Issued in TN
Practice address
7514 Corporate Center Dr Ste 100
Germantown, TN 38138-3877
Phone
(901) 757-5333
NPI assigned
Apr 10, 2021
Last updated
Apr 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 29135 TN Primary

Addresses

Primary practice location

7514 Corporate Center Dr Ste 100
Germantown, TN 38138-3877

Mailing address

7514 Corporate Center Dr Ste 100
Germantown, TN 38138-3877
Phone (662) 541-0550

Other names 1

  • Amanda Dulaney Byrd Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210415001598 TN Practitioner - Nurse Practitioner 7315355104 Reassigns benefits to 1 organization
I20240921000620 MS Practitioner - Nurse Practitioner 7315355104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Jun 13, 2024 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Apr 16, 2021 Accepting new patients
Professional Imaging of Tennessee PastSince Apr 20, 2021 Accepting new patients

Locations

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618012800000",
    "number": "1801476270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 CORPORATE CENTER DR STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383877",
            "telephone_number": "662-541-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 CORPORATE CENTER DR STE 100",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383877",
            "telephone_number": "901-757-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULANEY",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "29135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BYRD",
            "middle_name": "DULANEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.