MRS. AMANDI NICHOLE PROFFITT (NPI# 1932568797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932568797 |
| Entity Type | Individual |
| Full Name | MRS. AMANDI NICHOLE PROFFITT |
| Credential | FNP-BC |
| Practice Address |
229 Interstate Dr Ste 103 Crossville TN 38555-2704 |
| Practice Telephone | 9312105577 |
| Practice Fax Number | 9312105575 |
| Mailing Telephone | 9312105577 |
| Mailing Fax Number | 9312105575 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000020460 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
229 INTERSTATE DR STE 103 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508023722 | Tlc Medical Oxygen & Hospital Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 229 Interstate Dr, Suite 105, Crossville, TN 38555-2709 | 2008-05-16 |
| 1356724108 | Kimberly C Bell | Nurse Practitioner | 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 | 2015-06-29 |
| 1306232418 | Wanda Jean Price | Nurse Practitioner | 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 | 2015-04-15 |
| 1023401619 | Dustin J Moss | Nurse Practitioner | 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 | 2015-03-06 |
| 1225302391 | Rebecca L Gilmer | Nurse Practitioner | 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 | 2012-03-06 |
| 1518231679 | Exac Care LLC | Family Medicine | 229 Interstate Dr, Suite 103, Crossville, TN 38555-2709 | 2012-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591177 | Melissa Anderson Mayfield | Nurse Practitioner | 15239 Al Highway 68 Ste B, Crossville, AL 35962-3481 | 2019-01-02 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1407232689 | Wendy Stout Henderson | Nurse Practitioner | 49 Cleveland St Ste 200, Crossville, TN 38555-2854 | 2015-08-10 |
| 1609192368 | Rebekah Suzanne Hillis | Nurse Practitioner | 49 Cleveland Street, Suite 270, Crossville, TN 38555-2856 | 2010-04-20 |
| 1740767417 | Julie Fossett | Nurse Practitioner | 100 Lantana Rd Ste 202, Crossville, TN 38555-1903 | 2018-07-25 |
| 1023557915 | Martin Shaver | Nurse Practitioner | 665 N Main St, Crossville, TN 38555 | 2017-02-13 |
| 1962855445 | William Flowers | Nurse Practitioner | 665 N Main St, Crossville, TN 38555 | 2016-07-19 |
| 1336500834 | Dale Cuva | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2016-03-10 |
| 1598123291 | Paige Pernell | Nurse Practitioner | 42 Dooley St, Crossville, TN 38555-4055 | 2016-02-09 |
| 1275903585 | Joy Henry | Nurse Practitioner | 100 Lantana Rd, Suite 202, Crossville, TN 38555-1915 | 2015-09-29 |
| Find all providers in CROSSVILLE | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
Please comment or provide details below to improve the information on MRS. AMANDI NICHOLE PROFFITT.
| 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.