Active NPI
Amanda Tilley, FNP
- Family Nurse Practitioner
- Columbia, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 31996
- 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, 2023
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Care Inc | Current | 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.
-
- Primary Care Clinic/Center
- Columbia, TN
- NPI 1346573540
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
- Robert Guerin Thompson, MD
- Thoracic and Cardiovascular Associates of Tennessee Inc (Maury Regional Hospital Cardiovascular & Thoracic Surgery)
- Cynthia Y Thornhill
- Alexander Clark Thurman, M.D.
- Consuella Tibbs, LPN
- Gannon Tissot, PA
- TLC Medical Oxygen & Hospital Equipment, Inc.
- TN Oms Specialty Dental Services, PLLC (Hunter Oral & Implant Surgery)
- Daniel John Tomaszewski, PHARM D
- Brandi Walden Trammell, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.