Amanda Walls

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

30264 Issued in TN

Practice address

384 Lancer Rd
Harriman, TN 37748

Phone

(865) 410-4611

NPI assigned

Oct 15, 2021

Last updated

Aug 18, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Vanderbilt University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Next Step Behavioral Health LLCGroup PAC ID 3375873698, 14 clinicians

Tennessee Ketamine and TherapeuticsGroup PAC ID 4688182918, 4 clinicians

Practice addresses (Care Compare)

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

• Tennessee Ketamine & Therapeutics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maryville, TN
  • NPI 1427844653
  Medicare reassignment Care Compare group NPD
• The Next Step Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
  • NPI 1770089351
  Medicare reassignment Care Compare group NPD
• Mind Body Beauty

  • Psychiatric/Mental Health Nurse Practitioner
  • Wartburg, TN
  • NPI 1245002690
  Medicare reassignment Authorized official
• The Cornerstone of Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Louisville, TN
  • NPI 1558479758
  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1851054050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 LANCER RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "37748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 LANCER RD",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "37748",
            "telephone_number": "865-410-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 Horsehead Ln",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "TN",
            "postal_code": "373677432",
            "country_code": "US",
            "telephone_number": "423-881-3251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "30264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W E Bennett MD
• Mancel Wayne Wakham, DO
• Walgreen Co (Walgreens #10612)
• Rachel Walker, DMD
• Richard Anthony Wallace, CRNA
• David Andrew Weadon, PT
• Kimberly Webb, FNP
• Carolyn Wertel
• Megan Ashley White, FNP-C
• Bennie W Whitehead, MD

• Psychiatric/Mental Health Nurse Practitioner in Harriman, TN
• Providers in Harriman, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

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

Verify at the official NPI Registry.