AMANDA NICOLE KRALICK (NPI# 1720464969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720464969 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE KRALICK |
| Credential | NP |
| Practice Address |
8115 Isabella Ln Ste 12 Brentwood TN 37027 |
| Mailing Address |
3024 Business Park Cir Goodlettsville TN 37072-3132 |
| Practice Telephone | 6153090080 |
| Practice Fax Number | 6159327270 |
| Mailing Telephone | 6158516033 |
| Mailing Fax Number | 6158512018 |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2018-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 20353 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG0715148 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9407584 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016276300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1120 Grove Rd, Greenville, SC 296054656 | 8644558897 | 8644558555 |
| Street Address |
8115 ISABELLA LN STE 12 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447818190 | Tiffany Lauren Wright | Nurse Practitioner | 8115 Isabella Ln Ste 12, Brentwood, TN 37027-9110 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376979583 | Jacy Taylor Cunningham | Nurse Practitioner | 783 Old Hickory Blvd Ste 355, Brentwood, TN 37027-4986 | 2013-09-19 |
| 1477869030 | Fabia Brown Thompkins | Nurse Practitioner | 5410 Maryland Way Suite 300, Brentwood, TN 37027 | 2010-08-20 |
| 1205014701 | Mary Elizabeth Parks | Nurse Practitioner | 6688 Nolensville Rd Ste 108-175, Brentwood, TN 37027-8833 | 2008-02-06 |
| 1609262823 | Parks Practitioner and Consulting Services LLC | Nurse Practitioner | 6688 Nolensville Rd Ste 108-175, Brentwood, TN 37027-8833 | 2015-04-14 |
| 1326454505 | Vanessa Adridge | Nurse Practitioner | 105 Westpark Dr, Suite 200, Brentwood, TN 37027-5319 | 2014-07-08 |
| 1245571066 | Brittany Nicole Montgomery | Nurse Practitioner | 1605 Westgate Cir, Box 100, Brentwood, TN 37027-8395 | 2013-03-04 |
| 1407117203 | Sophie Chery Pierre-pierre | Nurse Practitioner | 10 Cadillac Dr, Ste 350, Brentwood, TN 37027-5078 | 2012-06-07 |
| 1174890255 | Jonathan W Wilson | Nurse Practitioner | 10 Cadillac Dr, Suite 350, Brentwood, TN 37027 | 2011-11-17 |
| 1831329135 | Rools Deslouches | Nurse Practitioner | 820 Suffolk Ave, Brentwood, NY 11717-4498 | 2009-07-21 |
| 1548449226 | Alison Abrams | Nurse Practitioner | 1869 Brentwood Rd, Suffolk County Employee Health Services, Brentwood, NY 11717-4625 | 2007-10-30 |
| Find all providers in BRENTWOOD | ||||
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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.