AMANDA JOHNSON PMHNP-BC NPI 1215215009

NPI Information

NPI: 1215215009
Provider Name: AMANDA JOHNSON, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3145 VIRGINIA BEACH BLVD STE 108
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 664-9700
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Amanda Johnson, PMHNP-BC is a psychiatric/mental health nurse practitioner in Virginia Beach, VA with 13 years of experience. Amanda Johnson, PMHNP-BC NPI is 1215215009. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3145 VIRGINIA BEACH BLVD STE 108
VIRGINIA BEACH, VA
ZIP 23452-950
Phone: (757) 664-9700
Fax: (757) 664-9701

The NPI 1215215009 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2011 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		0024171804	VIRGINIA	No
2	363L00000X	Nurse Practitioner		3007008	KENTUCKY	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	0024171804	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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