Active NPI
Amanda Marie Daffer, NP
- Adult Health Nurse Practitioner
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1151321
- Practice address
- 3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300 - Phone
- (502) 636-4900
- Fax
- (502) 636-4901
- NPI assigned
- Jan 12, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1151321 | KY | Primary |
Addresses
Primary practice location
3 Audubon Plaza Dr
Suite 430
Louisville, KY 40217-1300
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicsoap.nortonhealthcare.org/ | ||
| Direct Messaging Address | adaffer111403@direct.nortonhealthcare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
979 E 3Rd St
Suite C430
Chattanooga, TN 37403-3358
Phone (423) 624-6584
Hospital & facility affiliations
- Erlanger Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.11 of 100
- Quality
- 63.34
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.68
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2221 | TX | MD | Chiropractor |
| 1151321 | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisville Hip and Knee Institute | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Erlanger Health | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Adult Health | Current | Accepting new patients |
| Chattanooga Hamilton County Hospital Authority | Past | Accepting new patients |
Locations
3 Audubon Plaza Dr
Ste 430
Louisville, KY 40217
Phone (502) 636-4900
3810 Springhurst Blvd
Ste 310
Louisville, KY 40241
Phone (502) 447-5633
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
632 Morrison Springs Rd
Ste 202
Chattanooga, TN 37415
Phone (423) 778-3329
979 E 3rd St
Ste C430
Chattanooga, TN 37403
Phone (423) 624-6584
2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434
Interoperability endpoints
- https://api.platform.athenahealth.com/22070/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
Adult Health
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Louisville, KY
- NPI 1316537533
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Durable Medical Equipment & Medical Supplies
- Chattanooga, TN
- NPI 1740073329
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1154751931
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chattanooga, TN
- NPI 1861194086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1851661474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 AUDUBON PLAZA DR",
"address_2": "SUITE 430",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171300",
"telephone_number": "502-636-4900",
"fax_number": "502-636-4901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAFFER",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "1151321",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "3 Audubon Plaza Dr",
"address_2": "Suite 430",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402171300",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adaffer111403@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "3 Audubon Plaza Dr",
"address_2": "Suite 430",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402171300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.