Individual provider Active NPI

Amanda Kristine Winters, D.O.

  • Internal Medicine Physician
  • Hixson, TN
National Provider Identifier
1932393154
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116017729 Issued in VA
Practice address
5798 Hixson Home PL
Hixson, TN 37343-4898
Phone
(423) 842-0049
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0116017729 VA Primary

Addresses

Primary practice location

5798 Hixson Home PL
Hixson, TN 37343-4898

Mailing address

PO Box 2153 Dept 40339
Birmingham, AL 35287-9387
Phone (423) 473-5038

Other practice location 1

979 E 3rd St
Suite C0630
Chattanooga, TN 37403-2136
Phone (423) 267-5677

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101012000184 TN Practitioner - Internal Medicine 3476745209 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0116017729VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael W Goodman MD PC CurrentSince Jun 1, 2010 Accepting new patients

Locations

979 E 3rd St
Ste C630
Chattanooga, TN 37403
Phone (423) 267-5677

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1932393154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 40339",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352879387",
            "telephone_number": "423-473-5038",
            "fax_number": "423-339-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5798 HIXSON HOME PL",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434898",
            "telephone_number": "423-842-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "979 E 3rd St",
            "address_2": "Suite C0630",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032136",
            "country_code": "US",
            "telephone_number": "423-267-5677",
            "fax_number": "423-267-6179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "AMANDA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0116017729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.