MS. AMANDA LUSK KIDD ACNP-AG NPI 1093113490

NPI Information

NPI: 1093113490
Provider Name: MS. AMANDA LUSK KIDD, ACNP-AG
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7000
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MS. Amanda Lusk Kidd, ACNP-AG is an acute care nurse practitioner in Roanoke, VA. MS. Amanda Lusk Kidd, ACNP-AG NPI is 1093113490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7000

The NPI 1093113490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/17/2014 and was last updated on 12/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		0001199884	VIRGINIA	No
2	363LA2100X	Nurse Practitioner	Acute Care	0024172026	VIRGINIA	Yes
3	363LA2200X	Nurse Practitioner	Adult Health	0024172026	VIRGINIA	No
4	363LG0600X	Nurse Practitioner	Gerontology	0024172026	VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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