AMANDA DEE BROCK APRN NPI 1013165786

NPI Information

  • NPI: 1013165786
  • Provider Name: AMANDA DEE BROCK, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 350 LANGDON ST
    SOMERSET, KY
    ZIP 42503
  • Phone: (606) 678-8155

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NPI Details

Amanda Dee Brock, APRN is a family nurse practitioner in Somerset, KY. Amanda Dee Brock, APRN NPI is 1013165786. 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:

350 LANGDON ST
SOMERSET, KY
ZIP 42503-786
Phone: (606) 678-8155
Fax: (606) 678-7548

The NPI 1013165786 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 9/5/2008 and was last updated on 5/12/2023.

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
1363LF0000XNurse PractitionerFamily3005621KENTUCKYYes
2163WG0000XRegistered NurseGeneral Practice5621PKENTUCKYNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100099690MEDICAIDKENTUCKY
211988299OTHERCAQH

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: 11/21/2025

NPI Synchronization or Removal

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