NPIMap

Individual provider Active NPI

Amanda N Lemp, DO, MPH

  • Family Medicine Physician
  • Licking, MO
National Provider Identifier
1952980419
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024032695 Issued in MO
Practice address
139 W Highway 32
Licking, MO 65542-9898
Phone
(573) 674-3011
Fax
(573) 674-4765
NPI assigned
Apr 2, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2024032695 MO Primary

Addresses

Primary practice location

139 W Highway 32
Licking, MO 65542-9898

Mailing address

139 W Highway 32
Licking, MO 65542-9898
Phone (573) 674-3011

Other identifiers 1

IdentifierTypeStateIssuer
26D0679044OtherMOCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003707 MO Practitioner - Family Practice 4385093764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas County Memorial HospitalGroup PAC ID 9436041696, 30 clinicians

Practice addresses (Care Compare)

139 W Hwy 32
Licking, MO 65542-9898
Phone (573) 674-3011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
84.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024032695MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas County Memorial Hospital CurrentSince Aug 19, 2024 Accepting new patients
Texas County Memorial Hospital Family Medicine CurrentSince Aug 19, 2024 Accepting new patients
Texas County Memorial Hospital Past Accepting new patients
Texas County Memorial Hospital Family Medicine Past Accepting new patients

Locations

1333 S Sam Houston Blvd
Houston, MO 65483
Phone (417) 967-3311

139 W Highway 32
Licking, MO 65542
Phone (573) 674-3011

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952980419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W HIGHWAY 32",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429898",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W HIGHWAY 32",
            "city": "LICKING",
            "state": "MO",
            "postal_code": "655429898",
            "telephone_number": "573-674-3011",
            "fax_number": "573-674-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMP",
        "first_name": "AMANDA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024032695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0679044",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Licking, MO

Sources for this page

Verify at the official NPI Registry.