AMANDA CATHARINE PATTERSON NPI 1700622966

NPI Information

  • NPI: 1700622966
  • Provider Name: AMANDA CATHARINE PATTERSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 809 82ND PKWY
    MYRTLE BEACH, SC
    ZIP 29572
  • Phone: (703) 209-3963

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NPI Details

Amanda Catharine Patterson is a family nurse practitioner in Myrtle Beach, SC with 2 years of experience. Amanda Catharine Patterson NPI is 1700622966. 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:

809 82ND PKWY
MYRTLE BEACH, SC
ZIP 29572-607
Phone: (703) 209-3963

The NPI 1700622966 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 7/6/2024 and was last updated on 1/7/2025.

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
1163W00000XRegistered Nurse0001280975VIRGINIANo
2363LF0000XNurse PractitionerFamily0024190646VIRGINIANo
3363LF0000XNurse PractitionerFamily29253SOUTH CAROLINAYes

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

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