Amanda Renee Jewell, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0024184204 Issued in VA

Practice address

22 E Church St Ste 308
Martinsville, VA 24112-6208

Phone

(276) 618-1125

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.jewell.1@30332.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martinsville Psychiatry, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Martinsville, VA
  • NPI 1831963123

  Community/Behavioral Health

  Medicare reassignment NPD Authorized official
• Divine Minds LLC

  • Community/Behavioral Health Agency
  • Chatham, VA
  • NPI 1972388775
  Medicare reassignment NPD
• Supportive Care of Virginia LLC

  • Clinical Psychologist
  • Colonial Heights, VA
  • NPI 1801485354
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1053786202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LEES RIDGE RD",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241120512",
            "telephone_number": "716-940-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E CHURCH ST STE 308",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241126208",
            "telephone_number": "276-618-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "AMANDA",
        "middle_name": "RENEE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0024184204",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0024184204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Jamison, LCSW
• Tia Ashley Jamison, LCSW
• Charles Wayne Jenkins, D.D.S.
• Erin H Jenkins, LPC
• Michael James Jennings, OD
• Christine Alice Jibilian, MASTERS STUDENT
• Jimmie L. Mask, D.C., P.C.
• JNS Home Healthcare Services
• Jo Lynn McClain, Psy.D.
• Camella Renee' Johnson-Gunn

• Psychiatry Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.