Provider Demographics
NPI:1932604725
Name:HILL, AMANDA GOOD (NP-C)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:GOOD
Last Name:HILL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 N SHADELAND AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:99 E CARMEL DR STE 150
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2400
Practice Address - Country:US
Practice Address - Phone:317-688-5415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-26
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71008442A363LF0000X
IN28214749A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71008442AOtherINDIANA APN PRESCRIPTIVE AUTHORITY
IN71008442BOtherINDIANA CSR
F09180101OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
F09180101OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS