Active NPI
Amanda Hester Thomas
- Psychiatric/Mental Health Nurse Practitioner
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R903178
- Practice address
- 219 N Church St
Tupelo, MS 38804-3815 - Phone
- (662) 260-4533
- Fax
- (662) 260-4576
- NPI assigned
- May 19, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R903178 | MS | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-140387 | AL | |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
219 N Church St
Tupelo, MS 38804-3815
Mailing address
219 N Church St
Tupelo, MS 38804-3815
Phone (662) 205-4058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
219 N Church St
Tupelo, MS 38804-3815
Phone (662) 205-4058
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-140387 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
| R903178 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Track Medical Group, Inc | Current | Accepting new patients | |
| Healthy Life Solutions, PLLC | Current | Accepting new patients | |
| Precise Clinical Neuroscience Specialists | Past | Accepting new patients | |
| Mississippi Center for Advanced Medicine, PC | Past | Accepting new patients |
Locations
1203 Medical Park Dr
Oxford, MS 38655
Phone (662) 513-4399
200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900
4428 S Eason Blvd
Ste B
Tupelo, MS 38801
4428 S Eason Blvd
Tupelo, MS 38801
Phone (601) 844-5080
219 N Church St
Tupelo, MS 38804
Phone (662) 205-4058
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Tupelo, MS
- NPI 1639839400
-
- Psychiatry Physician
- Olive Branch, MS
- NPI 1972080257
-
- Specialist
- Madison, MS
- NPI 1790227627
-
dba Right Track Medical Group
- Psychiatry Physician
- Flowood, MS
- NPI 1770717449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1902031099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 N CHURCH ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043815",
"telephone_number": "662-205-4058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 N CHURCH ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043815",
"telephone_number": "662-260-4533",
"fax_number": "662-260-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "AMANDA",
"middle_name": "HESTER",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R903178",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AL",
"license": "1-140387",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.