Individual provider Active NPI

Amanda Tilley, FNP

  • Family Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1871297994
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31996 Issued in TN
Practice address
2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088
Phone
(931) 840-8525
Fax
(931) 840-8535
NPI assigned
Mar 30, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31996 TN Primary

Addresses

Primary practice location

2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088

Mailing address

2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088
Phone (931) 446-7865

Other practice location 1

1202 S James Campbell Blvd
Suite 15
Columbia, TN 38401
Phone (931) 901-0770

Other practice location 2

1202 S James Campbell Blvd
Suite 18
Columbia, TN 38401
Phone (931) 901-0770

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230412001693 TN Practitioner - Nurse Practitioner 6103291745 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Right Care Inc CurrentSince Mar 30, 2023 Accepting new patients

Locations

1202 S James M Campbell Blvd
Ste 15
Columbia, TN 38401
Phone (931) 388-0450

1202 S James M Campbell Blvd
Ste 18
Columbia, TN 38401
Phone (931) 840-8525

2150 Brookmeade Dr
Ste 130
Columbia, TN 38401
Phone (931) 446-7865

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1871297994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BROOKMEADE DR STE 130",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014088",
            "telephone_number": "931-446-7865",
            "fax_number": "931-901-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BROOKMEADE DR STE 130",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014088",
            "telephone_number": "931-840-8525",
            "fax_number": "931-840-8535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 S James Campbell Blvd",
            "address_2": "Suite 15",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-901-0770",
            "fax_number": "931-901-0771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 S James Campbell Blvd",
            "address_2": "Suite 18",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "38401",
            "country_code": "US",
            "telephone_number": "931-901-0770",
            "fax_number": "931-901-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.