Active NPI
Amanda C Justison, RN
- Case Management Registered Nurse
- Evansville, IN
National Provider Identifier
1831481092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 28161415A
- Practice address
- 420 Mulberry St
Suite 201
Evansville, IN 47713-1231 - Phone
- (812) 435-5426
- Fax
- (812) 435-5418
- NPI assigned
- May 6, 2011
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 28161415A | IN | Primary |
Addresses
Primary practice location
420 Mulberry St
Suite 201
Evansville, IN 47713-1231
Mailing address
420 Mulberry St
Suite 201
Evansville, IN 47713-1231
Phone (812) 435-5426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28161415A | IN | MD | Case Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304640000000",
"number": "1831481092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 MULBERRY ST",
"address_2": "SUITE 201",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131231",
"telephone_number": "812-435-5426",
"fax_number": "812-435-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 MULBERRY ST",
"address_2": "SUITE 201",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131231",
"telephone_number": "812-435-5426",
"fax_number": "812-435-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTISON",
"first_name": "AMANDA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2011-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "IN",
"license": "28161415A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.