Individual provider Active NPI

Amanda Gail Lakin, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Great Bend, KS
National Provider Identifier
1144919606
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-82320-052 Issued in KS
Practice address
2008 11TH St
Great Bend, KS 67530-4419
Phone
(620) 796-2788
Fax
(620) 796-2789
NPI assigned
May 2, 2023
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 53-82320-052 KS Primary

Addresses

Primary practice location

2008 11TH St
Great Bend, KS 67530-4419

Mailing address

2008 11TH St
Great Bend, KS 67530-4419
Phone (620) 796-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20260121000919 KS Practitioner - Nurse Practitioner 1254818396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 E 23Rd Ave
Hutchinson, KS 67502-1105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-82320-052KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Solutions LLC CurrentSince Jul 21, 2024 Accepting new patients
Hutchinson Regional Medical Center, Inc. CurrentSince Jan 15, 2026 Accepting new patients
Avenues for Change PastSince May 1, 2023 Accepting new patients

Locations

2008 11th St
Great Bend, KS 67530
Phone (620) 793-3164

1701 E 23rd Ave
Hutchinson, KS 67502
Phone (620) 665-2117

Organizations & group practices 4

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": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1144919606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304419",
            "telephone_number": "620-796-2788",
            "fax_number": "620-796-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 11TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304419",
            "telephone_number": "620-796-2788",
            "fax_number": "620-796-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIN",
        "first_name": "AMANDA",
        "middle_name": "GAIL",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-82320-052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Bend, KS

Sources for this page

Verify at the official NPI Registry.