AMANDA BAZEMORE AGNP
NPI 1205702271
Nurse Practitioner - Adult Health in Charlotte, NC

Active since October 15, 2025
1232 EAST BLVD, CHARLOTTE, NC 28203(980) 221-6487 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Bazemore Agnp NPPES

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

AMANDA BAZEMORE AGNP (NPI 1205702271) is an individual adult health provider in Charlotte, North Carolina, licensed in North Carolina (5023304) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1205702271
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameAMANDA BAZEMORECredential: AGNP
Location Address1232 EAST BLVDCharlotte, NC 28203-5708
Mailing Address1232 East BlvdCharlotte, NC 28203-5708 · (980) 221-6487
Sole ProprietorNo
Enumeration DateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
NPI 1205702271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NC · 5023304
1232 EAST BLVD, Charlotte, NC 28203

Other Names 1

Other Name (5)Mandy Bazemore Agnp

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
1232 EAST BLVD
CHARLOTTE, NC 28203

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 Bazemore's NPI number?

The NPI number for Amanda Bazemore is 1205702271. It was assigned to this individual provider in the NPPES registry on October 15, 2025. The provider is also known as Mandy Bazemore Agnp.

Where is Amanda Bazemore located?

Amanda Bazemore practices at 1232 East Blvd, Charlotte, NC 28203. The listed phone number is (980) 221-6487.

What is Amanda Bazemore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Amanda Bazemore was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.