Active NPI
Amanda Monroe, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Fort Thomas, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4030918
- Practice address
- 112 Sheridan Avenue
Back House
Fort Thomas, KY 41075 - Phone
- (859) 638-2480
- NPI assigned
- Nov 22, 2024
- Last updated
- Dec 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4030918 | KY | Primary |
Addresses
Primary practice location
112 Sheridan Avenue
Back House
Fort Thomas, KY 41075
Mailing address
112 Sheridan Avenue
Back House
Fort Thomas, KY 41075
Phone (859) 638-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
699 Walnut St
Suite 400
Des Moines, IA 50309-3962
Phone (515) 441-7944
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4030918 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bliss Psychiatry, LLC | Current | Accepting new patients |
Locations
699 Walnut St
Ste 400
Des Moines, IA 50309
Phone (515) 441-7944
8101 College Blvd
Ste 100
Overland Park, KS 66210
Phone (877) 644-6669
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1083439145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SHERIDAN AVENUE",
"address_2": "BACK HOUSE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "41075",
"telephone_number": "859-638-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SHERIDAN AVENUE",
"address_2": "BACK HOUSE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "41075",
"telephone_number": "859-638-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "AMANDA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "4030918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.