Individual Healthcare Provider
Amanda Brooke Stevens, FNP
Provider's NPPES record last updated: April 7, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063755502
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Johnson City, Tennessee
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 22, 2026, 1:49 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Registered Nurse
Nursing Service Providers
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Taxonomy code 163W00000X
Provider-Reported License Information
- Nurse Practitioner (Tennessee)
- 17524
- Registered Nurse (Tennessee)
- 149495
- Nurse Practitioner (Virginia)
- 0024192942
Practice Locations
Practice Location
121 Boone Ridge Dr Ste 1004
Johnson City, Tennessee 37615-4993
Phone: (423) 794-5988
Additional Practice Location
400 N State of Franklin Rd
Johnson City, Tennessee 37604-6035
Phone: (423) 431-6111
Additional Practice Location
1 Medical Park Blvd Ste 3w
Bristol, Tennessee 37620-7430
Phone: (423) 844-1121
Additional Practice Location
2202 N John B Dennis Hwy Ste 110
Kingsport, Tennessee 37660-5904
Phone: (423) 578-8400
Additional Practice Location
1 Professional Park Dr Ste 21
Johnson City, Tennessee 37604-6909
Phone: (423) 232-6900
Additional Practice Location
500 Love St
Erwin, Tennessee 37650-1734
Phone: (423) 735-4160
Fax: (423) 735-4159
Additional Practice Location
3 Professional Park Dr Ste 31
Johnson City, Tennessee 37604-6529
Phone: (423) 631-0543
Additional Practice Location
390 Kane St
Gate City, Virginia 24251-2753
Phone: (276) 386-3411
Fax: (276) 386-3492
Additional Practice Location
121 Boone Ridge Dr Ste 1004
Johnson City, Tennessee 37615-4993
Phone: (423) 794-5988
Fax: (423) 232-8583
Record Information
- Enumeration Date
- April 3, 2013
- Provider's NPPES Record Last Updated
- April 7, 2025
- Certification Date
- April 7, 2025
- NPISignal NPPES Dataset
- August 2026
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