Amanda U. Hargraves, A.P.N.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00830600 Issued in NJ

Practice address

444 Neptune Blvd.
Unit 2
Neptune, NJ 07753-4144

Phone

(732) 775-5300

Fax

(732) 775-1737

NPI assigned

Jul 24, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, KY2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.hargraves.1@24694.direct.athenahealth.com

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.

• Spiras Health, Inc.

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1740885565

  KY

  Medicare reassignment NPD
• Spiras Health of Kansas, LLC

  • Family Nurse Practitioner
  • Brentwood, TN
  • NPI 1982299194
  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1922585850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD.",
            "address_2": "UNIT 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 NEPTUNE BLVD.",
            "address_2": "UNIT 2",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534144",
            "telephone_number": "732-775-5300",
            "fax_number": "732-775-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "AMANDA",
        "middle_name": "U.",
        "name_prefix": "Dr.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00830600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8880107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Byrne Nutrition LLC
• Riple Jayantilal Hansalia, M.D.
• Erica Leigh Hansen, LSW
• Vera Hapshy, DO
• Samiul Haque, MD
• Eric Lynn Hargreaves
• Leanne Haroun, M.D.
• Omawattie Harper
• Stacey L Harr, PA-C
• Kenneth B Harris, MD

• Acute Care Nurse Practitioner in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.

Verify at the official NPI Registry.