Provider Demographics
NPI:1245763630
Name:BEST, AMANDA (RN)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:BEST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 836
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-0836
Mailing Address - Country:US
Mailing Address - Phone:865-248-4411
Mailing Address - Fax:877-922-0114
Practice Address - Street 1:405 W ROCKWOOD ST
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:TN
Practice Address - Zip Code:37854-2247
Practice Address - Country:US
Practice Address - Phone:865-248-4411
Practice Address - Fax:877-922-0114
Is Sole Proprietor?:No
Enumeration Date:2017-04-04
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN160537171M00000X, 364SH0200X, 163WH0200X, 163WA2000X, 163WC0400X, 171M00000X, 364SH0200X, 163WA2000X, 163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
814906686OtherEEOICPA, FECA, BLACK LUNG, LONG TERM CARE, PRIVATE PAY