Amanda Marie Diemer

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

266799 Issued in TN

Practice address

6102 Tennessee Ave
Fort Campbell, KY 42223-5940

Phone

(270) 461-0570

NPI assigned

May 18, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1962193102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 BELVOIR LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370401444",
            "telephone_number": "224-730-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 TENNESSEE AVE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235940",
            "telephone_number": "270-461-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEMER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TN",
            "license": "266799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Defense
• Alexander Despois
• Whitney A Devers
• Mario Di Biase, PSY.D.
• Ramon Diaz, M.D.
• Corey Lynn Dietze, DPT, ATC-LAC
• Earvean Lashawnda Diggs, DSW, LCSW, CFCS
• Ashley Marie Dimeo, DMD
• Julian Macon Dismukes III, DMD
• Suzyn Mary Douglass-Everhard, M.A.

• Case Management Registered Nurse in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Case Management Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.