Amanda McDonald, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008822 Issued in KY

Practice address

2465 Lakeway Dr
Russell Springs, KY 42642-4510

Phone

(270) 858-3636

Fax

(270) 858-3660

NPI assigned

Nov 21, 2014

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1851798755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 LAKEWAY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424510",
            "telephone_number": "270-858-3636",
            "fax_number": "270-858-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 LAKEWAY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424510",
            "telephone_number": "270-858-3636",
            "fax_number": "270-858-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "AMANDA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Lawson, RPH
• Terri Susanne Lee, OD
• Lily Creek Medical Group, PSC
• Robin Livers, LPCC; CADC
• Musa Mawanda, APRN
• Brandi Lynee Meece, APRN
• David Wayne Meggitt, M.A., LPCA
• Joshua David Melson, PHARMD, MBA
• Meyers Chiropractic Center PSC
• Jeffery Scott Meyers, D.C.

• Family Nurse Practitioner in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.