Amanda Keliihoomalu, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

37641 Issued in TN

Practice address

9019 Overlook Blvd Ste C1B
Brentwood, TN 37027-2737

Phone

(615) 274-9767

Fax

(833) 450-4801

NPI assigned

Jan 13, 2025

Last updated

May 24, 2025By the provider in NPPES

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

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iris Medical GroupGroup PAC ID 0648653360, 82 clinicians

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Brentwood, TN, CCN 447107
• Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
• Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.keliihoomalu.1@30029.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  Family, KY

  Medicare reassignment Care Compare group NPD
• Iris Medical Group Kentucky LLC

  • Primary Care Clinic/Center
  • Bowling Green, KY
  • NPI 1336908110
  NPD
• Iris Wound Care, PC

  • Clinic/Center
  • Brentwood, TN
  • NPI 1568273605
  NPD (past)

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

• Amedisys Tennessee, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Brentwood, TN
  • NPI 1972551794
  Care Compare affiliation
• Clarksville Health System, LLC

  dba Tennova Healthcare-Clarksville

  • General Acute Care Hospital
  • Clarksville, TN
  • NPI 1285689794
  Care Compare affiliation
• Clarksville Home Care Services LLC

  dba SunCrest Home Health

  • Home Health Agency
  • Clarksville, TN
  • NPI 1427003607
  Care Compare affiliation

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1972313880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 OVERLOOK BLVD STE C1B",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272737",
            "telephone_number": "615-274-9767",
            "fax_number": "833-450-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELIIHOOMALU",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakyn Marie Kearns, PHD
• Aimee Keedy, TLMFT
• Jessica Keeter, NP
• Jessica Keeton
• Sara Ellen Keith
• Kelley N. Rice, DMD PLLC (Cool Springs Laser Dentistry)
• Neil Kelley
• William E Kelley, DPT
• Dionne Yvelle Kellogg, DC
• Colin Michael Kelly, APRN, PMHNP-BC

• Family Nurse Practitioner in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.