Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA ALICE RUBENKONIG FNP-BC
NPI 1174440515
Nurse Practitioner - Family in Washington, NC

Active since July 06, 2026
623 W 15TH ST, WASHINGTON, NC 27889(252) 644-6450 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2026, Jul 6, 2026 (2 updates tracked since 2026).

About Amanda Alice Rubenkonig Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ALICE RUBENKONIG FNP-BC (NPI 1174440515) is an individual family provider in Washington, North Carolina, licensed in North Carolina (5025159) and active in the NPI registry since July 2026. She maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1174440515
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA ALICE RUBENKONIGCredential: FNP-BC
Location Address623 W 15TH STWashington, NC 27889-3526
Mailing Address623 W 15th StWashington, NC 27889-3526
Sole ProprietorNo
Enumeration DateJuly 6, 2026
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1174440515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5025159
623 W 15TH ST, Washington, NC 27889

Secondary Practice Location 1

Location 1162 Wheel House CtWashington, NC 27889-9720 · Phone (304) 703-8212

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
623 W 15TH ST
WASHINGTON, NC 27889
Nurse Practitioner (Family)
623 W 15TH ST
WASHINGTON, NC 27889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Rubenkonig's NPI number?

The NPI number for Amanda Rubenkonig is 1174440515. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Amanda Rubenkonig located?

Amanda Rubenkonig practices at 623 W 15th St, Washington, NC 27889. The listed phone number is (252) 644-6450.

What is Amanda Rubenkonig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Amanda Rubenkonig was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.