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

Amanda Lively, FNP

Individual provider Family Nurse Practitioner · NPI 1982064622

Amanda Lively, FNP is a Nurse Practitioner in Price, Utah. Qualified in 2015, 11 years ago. Practices with Shane D Gagon MD, PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas and Utah.

Years since qualifying
11
Licensed in
TX, UT
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

377 N Fairgrounds Rd
Price, UT 84501-4241
Phone: (435) 613-2200
Fax: (435) 613-2201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 367 N Main St, Huntington, UT 84528-5512 — (435) 613-2200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7946150-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP130221 (TX)

Record details

NPI number1982064622
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 23, 2016
Last updated in NPPESMay 17, 2022
Certification dateMay 17, 2022
Mailing addressPo Box 1437, Price, UT 84501-1437

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Shane D Gagon Md, Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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