Amanda Kay Collier, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5013700 Issued in NC

Practice address

1814 N Aspen St
Lincolnton, NC 28092-6303

Phone

(704) 240-5260

Fax

(704) 703-6607

NPI assigned

Dec 29, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2022 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Proactive MD NC, PC

  • Family Medicine Physician
  • Conover, NC
  • NPI 1013518166
  NPD (past)
• Proactive Mso, LLC

  • Primary Care Clinic/Center
  • Nashville, IN
  • NPI 1598270746
  NPD (past)

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1831661917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280926303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 N ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280926303",
            "telephone_number": "704-240-5260",
            "fax_number": "704-703-6607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774103",
            "country_code": "US",
            "telephone_number": "980-223-2595",
            "fax_number": "980-223-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013700",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008650A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "5013700",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Cochran, LCMHC-A
• Kellie Coffey, LCMHCA
• Danielle Yaffa Cohen, MD
• Tarah Coleman, DDS
• Collier Family Medical, PLLC
• Beverly C Collins, CRNA
• Community Connection Services
• Community Pharmacy of Lincolnton LLC
• Community Pharmacy of Lincolnton LLC
• Community Pharmacy of Lincolnton, LLC

• Family Nurse Practitioner in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.