AMANDA R LEE (NPI# 1508332974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508332974 |
| Entity Type | Individual |
| Full Name | AMANDA R LEE |
| Credential | AGACNP-BC |
| Practice Address |
3960 New Covington Pike Memphis TN 38128-2504 |
| Mailing Address |
Po Box 1000, Dept 351 Memphis TN 38148-0001 |
| Practice Telephone | 9015165741 |
| Practice Fax Number | 9015165596 |
| Mailing Telephone | 9017589900 |
| Mailing Fax Number | 9017522335 |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN24539 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2016 Greystone Sq, Jackson, TN 383053575 | 7316641773 | 7316641751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326563 | Amanda Robin Lee | Technician | 169 Hershey Hollow Rd, Keyser, WV 26726-8377 | 2020-08-10 |
| 1215492400 | Amanda Jeanne Lee | Counselor | 29815 E 36th St S, Broken Arrow, OK 74014-8325 | 2019-02-01 |
| 1568948453 | Amanda Jean Lee | Behavior Technician | 8330 N Teutonia Ave Ste 1800, Brown Deer, WI 53209-1550 | 2018-07-14 |
| 1033601778 | Amanda Marie Lee | Audiologist | 4012 Beeston Hill, Medical Center, Suite 7, St. Croix, VI 00820 | 2018-05-30 |
| 1699292094 | Amanda Megan Lee | Specialist/Technologist | 14616 S Nyssa Ct, Glenpool, OK 74033-3797 | 2017-08-25 |
| 1295286441 | Amanda Zhou Lee | Acupuncturist | 966 Sonoma Ave, Santa Rosa, CA 95404-4814 | 2016-10-21 |
| 1972968105 | Amanda Lee | Nurse Anesthetist, Certified Registered | 35 Tracey Ann Ct, Naugatuck, CT 06770-3465 | 2015-12-14 |
| 1558750752 | Amanda Frances Lee | Nurse Practitioner | 5416 Forest Falls Dr, Loganville, GA 30052-3441 | 2015-01-12 |
| 1104259357 | Amanda Sue Lee | Speech-Language Pathologist | 5200 Nw 55th Blvd Apt 101, Coconut Creek, FL 33073-3796 | 2013-08-12 |
| 1740591924 | Amanda R. Lee | Dentist | 310 Millstone Dr, Suite 1, Hillsborough, NC 27278 | 2010-06-23 |
| Street Address |
3960 NEW COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695997 | Joseph A Mixon | Emergency Medicine | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2005-08-10 |
| 1619598174 | Brittany Alys Kellum | Nurse Practitioner | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-05-06 |
| 1306466867 | Ashley Moore | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1124648688 | Janna Fay Knickerbocker | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-24 |
| 1184244758 | Elizabeth Janette Roads Upchurch | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1326668948 | Alison Ingles | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1497375018 | Julia Alexandra Seaton | Speech-Language Pathologist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1902426547 | Sarah Abernethy Mcgrath | Occupational Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1033739644 | Alexis Potter | Physical Therapist | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| 1629698261 | Katrina Nicole Walker | Physical Therapy Assistant | 3960 New Covington Pike, Memphis, TN 38128-2504 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
| Find all providers in zip 38128 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1306493887 | Amber Nicole Madison | Nurse Practitioner | 2002 Court Ave, Memphis, TN 38104-2703 | 2019-08-20 |
| 1447605753 | Anne Wheeler Alexandrov | Nurse Practitioner | Uthsc College of Nursing, 920 Madison, Suite 532, Memphis, TN 38163-0001 | 2016-04-25 |
| 1336503564 | Garnet Health Provider LLC | Nurse Practitioner | 4493 Potters Cross Dr, Memphis, TN 38125-4421 | 2016-04-13 |
| 1083732911 | Teresa Carol Hug | Nurse Practitioner | 1325 Eastmoreland Ste 335, Memphis, TN 38104-3423 | 2007-03-27 |
| 1467069369 | Melissa Madolyn Morgan | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-09-25 |
| 1245845247 | Callie Dugard | Nurse Practitioner | 1331 Union Ave, Memphis, TN 38104-3513 | 2020-09-15 |
| 1851906101 | Stephanie Marie Baggett | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-14 |
| 1275148561 | Suzanne D Moyer | Nurse Practitioner | 877 Jefferson Ave, Memphis, TN 38103-2807 | 2020-09-13 |
| 1306459516 | Vladyslava Inman | Nurse Practitioner | 1265 Union Ave, Memphis, TN 38104-3415 | 2020-08-26 |
| Find all providers in MEMPHIS | ||||
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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.