Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Larson

Individual provider Registered Nurse · NPI 1053729327

Amanda Larson is a Nurse Practitioner in Mt Juliet, Tennessee. Qualified in 2014, 12 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 10 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
Specialties on file
3

Practice location Address checks out

40 W Caldwell St Ste 200
Mt Juliet, TN 37122-3179
Phone: (615) 941-8501
Fax: (615) 941-8102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 5801 Crossings Blvd, Antioch, TN 37013-3130 — (615) 941-8501
  • 1642 Westgate Cir Ste 201, Brentwood, TN 37027-8587 — (615) 941-8501
  • 776 Weatherly Dr Ste B, Clarksville, TN 37043-8922 — (615) 941-8501
  • 851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 — (615) 941-8501
  • 405 Steam Plant Rd Ste 200, Gallatin, TN 37066-3375 — (615) 941-8501
  • 320 New Shackle Island Rd, Hendersonville, TN 37075-2312 — (615) 941-8501
  • 1547 Warrior Dr Ste A, Murfreesboro, TN 37128-0922 — (615) 941-8501
  • 2222 State St Ste C, Nashville, TN 37203-1869 — (615) 941-8501
  • 300 20th Ave N Ste 600, Nashville, TN 37203-2143 — (615) 941-8501

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 18969 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 160038 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 18969 (TN)

Record details

NPI number1053729327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2014
Last updated in NPPESNovember 16, 2023
Certification dateNovember 16, 2023
Mailing address3024 Business Park Cir, Goodlettsville, TN 37072-3132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mt Juliet