Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1215301643
Amanda Blevins
Active
NPI Number1215301643
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1215301643
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2015-11-23
Last Updated2023-02-01
Mailing Address3695 Main St
Jasper, TN 37347-0417
United States
Phone: (423) 815-9180 | Fax: (423) 815-1662
📍 View Map
Primary Practice Address961 Spring Creek Rd Ste 300
Chattanooga, TN 37412-3976
United States
Phone: (423) 893-9787 | Fax: (423) 893-9037
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No363L00000X – Nurse PractitionerTN20640
Yes363LF0000X – Nurse Practitioner, FamilyTN20640
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About NPI 1215301643

Amanda Blevins is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1215301643. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Chattanooga, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2015-11-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1215301643?

NPI 1215301643 belongs to Amanda Blevins, a Nurse Practitioner, Family in Chattanooga, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1215301643 active?

The current status of NPI 1215301643 in the NPPES registry is Active. The record was last updated on 2023-02-01.

What specialty is NPI 1215301643?

NPI 1215301643 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1215301643?

You can verify NPI 1215301643 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1215301643?

The primary practice address on file for NPI 1215301643 is 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412-3976. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1215301643 issued?

NPI 1215301643 was first issued (enumerated) on 2015-11-23. The NPPES record was last updated on 2023-02-01.

Practice Location Map

Amanda Blevins is located at 961 Spring Creek Rd Ste 300, Chattanooga, TN. Use the map below to find directions or verify the practice location.

📍 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412-3976  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Amanda Blevins. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1215301643. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner20640TN
Nurse Practitioner, Family20640TN
Data Verified from CMS NPPES Last synced: 2026-07-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162