AMANDA HAYES BURK — NPI 1891515417 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology in KINGSPORT, TN)

CMS-1500 Box 24J / 33a • NPI

1891515417

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LG0600X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology

Box 32 Service Location & ZIP+4

2050 MEADOWVIEW PKWY, KINGSPORT, TN, 37660-7475

✓ 9-Digit EDI 837 ZIP+4 (37660-7475)

Practice Phone & Referral Fax

(423) 230-5000

Fax: (423) 390-6852

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891515417 (AMANDA HAYES BURK) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1891515417` (NPI-1 Individual Practitioner)
Provider / Legal Name	AMANDA HAYES BURK
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology NUCC Code: `363LG0600X` (Nurse Practitioner, Gerontology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2050 MEADOWVIEW PKWY, KINGSPORT, TN, 37660-7475
Practice Telephone / Fax	Tel: (423) 230-5000 \| Fax: (423) 390-6852
Administrative Mailing Address	1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN, 37604-2192
Enumeration & Last Sync	Enumerated: 2024-10-17 \| CMS Record Updated: 2026-02-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2050 MEADOWVIEW PKWY, KINGSPORT, TN, 37660-7475

🗺️ Open in Google Maps 🏥 More Providers in KINGSPORT

🔒 Are you AMANDA HAYES BURK? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (363LG0600X)

What Does Taxonomy Code 363LG0600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LG0600X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Gerontology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AMANDA HAYES BURK)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LG0600X` — Nurse Practitioner, Gerontology Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology	State: VA \| License: `0024194871` \| Primary: Secondary
`363LG0600X` — Nurse Practitioner, Gerontology Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Gerontology	State: TN \| License: `37099` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

AMANDA HAYES BURK (NPI #1891515417)