Active NPI
Amanda Radford, APRN-FNP-C
- Family Nurse Practitioner
- London, KY
National Provider Identifier
1831757368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013371
- Practice address
- 1120 Reuben St
London, KY 40741-1074 - Phone
- (606) 401-0051
- NPI assigned
- May 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 3013371 | KY | Primary |
Addresses
Primary practice location
1120 Reuben St
London, KY 40741-1074
Mailing address
1120 Reuben St
London, KY 40741-1074
Phone (606) 401-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190802002074 | KY | Practitioner - Nurse Practitioner | 4880921592 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Reuben St
London, KY 40741-1074
Phone (606) 862-6550
Hospital & facility affiliations
- Professional Home Health Care, Inc
- Baptist Health Corbin
- Saint Joseph London
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013371 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc. | Family Medicine | Current | Accepting new patients |
| Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Memorial Hospital, Inc. | Family | Current | Accepting new patients |
| Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163
210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047
53 Queendale Ctr
Red Bird, KY 40913
Phone (606) 598-5135
Organizations & group practices 6
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- London, KY
- NPI 1912995127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1831757368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 REUBEN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411074",
"telephone_number": "606-401-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 REUBEN ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411074",
"telephone_number": "606-401-0051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADFORD",
"first_name": "AMANDA",
"credential": "APRN-FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-30",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.
- 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.