MRS. AMANDA S MOORHOUSE APN NPI 1679889356

NPI Information

NPI: 1679889356
Provider Name: MRS. AMANDA S MOORHOUSE, APN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
202 W FAIRVIEW AVE
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 439-7371
Get Directions

MRS. Amanda S Moorhouse, APN is a family nurse practitioner in Johnson City, TN with 14 years of experience. MRS. Amanda S Moorhouse, APN NPI is 1679889356. 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:

202 W FAIRVIEW AVE
JOHNSON CITY, TN
ZIP 37604-611
Phone: (423) 439-7371
Fax: (423) 232-0420

The NPI 1679889356 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 8/19/2010 and was last updated on 12/20/2021.

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	363LF0000X	Nurse Practitioner	Family	15468	TENNESSEE	Yes

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
1	15468	OTHER	TENNESSEE	APN
2	RN132686	OTHER	TENNESSEE	RN LICENSE
3	176776	OTHER	TENNESSEE	EMT LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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