AMANDA MALONE (NPI# 1033537428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033537428 |
| Entity Type | Individual |
| Full Name | AMANDA MALONE |
| Credential | MSN, FNP-BC |
| Practice Address |
101 Professional Park Pvt Dr Kingsport TN 37663-2288 |
| Practice Telephone | (423) 239-7300 |
| Mailing Telephone | (423) 239-7300 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18573 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Love St, Erwin, TN 376501734 | 4237354160 | 4237354159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821580085 | Amanda Malone | Specialist | 735 3rd St Sw, Perham, MN 56573-1152 | 2018-06-04 |
| 1528416138 | Amanda C Malone | Physical Therapist | 842 Ne Alices Rd, Waukee, IA 50263-8857 | 2016-05-25 |
| 1881098226 | Amanda Sue Malone | Counselor | 850 23rd Ave, Suite A, Longmont, CO 80501-1114 | 2014-10-14 |
| 1871512269 | Amanda K. Malone | Family Medicine | 1509 Ritchie Hwy, Arnold, MD 21012-2742 | 2006-07-18 |
| Street Address |
101 PROFESSIONAL PARK PVT DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37663-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508877846 | Roger Archer | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2006-08-11 |
| 1659907327 | Mountain Region Family Medicine, PC | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2020-03-13 |
| 1205205317 | Monna J. Nelms | Nurse Practitioner | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2015-09-18 |
| 1457544868 | Kimberly D Roller | Emergency Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2007-08-20 |
| 1710990601 | Mountain Region Family Medicine, PC | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2006-08-14 |
| 1265443436 | Richard L Brandon | Family Medicine | 101 Professional Park Pvt Dr, Kingsport, TN 37663-2288 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528126 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 1567 North Eastman Road, Kingsport, TN 37663 | 2012-08-15 |
| 1548546419 | Vickie R Harris | Counselor | 317 Pitt Road, Kingsport, TN 37663 | 2011-10-24 |
| 1467746446 | Eric A. Echard | Dentist | 1339 Moreland Drive, Suite 1, Kingsport, TN 37663 | 2011-06-07 |
| 1619003399 | Colonial Heights Pharmacy, Inc. | Pharmacy | 4221 Ft. Henry Drive, Kingsport, TN 37663 | 2007-02-26 |
| 1316005986 | Robert F Mcamis Jr. | Dentist | 4016 Fort Henry Drive, Kingsport, TN 37663 | 2006-12-05 |
| 1467567412 | Colonial Heights Dental Assocaites | Dentist | 150 Clinic Drive, Suite A, Kingsport, TN 37663 | 2006-08-20 |
| 1194777953 | Nicholas Brett Smith | Family Medicine | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2006-05-17 |
| 1396720108 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 648 Eastern Star Rd, Kingsport, TN 37663 | 2005-12-14 |
| 1023000429 | Darryl Fontaine | Anesthesiology | 4105 Fort Henry Drive, Suite 207, Kingsport, TN 37663 | 2005-08-22 |
| 1659701696 | Jordan Burke | Physician Assistant | 4600 Fort Henry Dr, Kingsport, TN 37663 | 2013-11-12 |
| Find all providers in zip 37663 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911202 | Felicia Grace Berry | Nurse Practitioner | 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 | 2020-01-23 |
| 1205399508 | Michael David Thacker | Nurse Practitioner | 100 Clinchfield St, Kingsport, TN 37660-3681 | 2019-04-12 |
| 1871058263 | Lisa Marie Ketchem | Nurse Practitioner | 5039 Andrew St, Kingsport, TN 37660-6500 | 2019-02-10 |
| 1972067395 | Alice Victoria Lilly | Nurse Practitioner | 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 | 2019-01-30 |
| 1720542376 | Amanda Michelle Oliver | Nurse Practitioner | 404 Manor Dr Apt F, Kingsport, TN 37660-3471 | 2019-01-29 |
| 1750857439 | Ashlee Fleming | Nurse Practitioner | 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 | 2018-10-19 |
| 1497220214 | Melanie Creppel Bourgeois | Nurse Practitioner | 4606 Sundown Dr, Kingsport, TN 37664-6913 | 2018-10-08 |
| 1013493147 | Cathy A Greenwood | Nurse Practitioner | 3136 Winesap Rd, Kingsport, TN 37663-2920 | 2018-07-11 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1235641630 | Bethany Monique Rock | Nurse Practitioner | 3716 Thorngrove Dr, Kingsport, TN 37660-2243 | 2017-10-26 |
| Find all providers in KINGSPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.