Individual provider Active NPI

Amanda Westlund, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1184096505
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
875836 Issued in NV
Practice address
620 S Tonopah Dr
Las Vegas, NV 89106-4029
Phone
(702) 413-1391
Fax
(702) 413-1392
NPI assigned
Oct 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95050437 CA
General Practice Registered Nurse 163WG0000X RN90612 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 875836 NV Primary

Addresses

Primary practice location

620 S Tonopah Dr
Las Vegas, NV 89106-4029

Mailing address

10806 Cape Shore Ave
Las Vegas, NV 89166-6003
Phone (402) 214-1739

Other practice location 1

506 W Jackman St
Lancaster, CA 93534-2531
Phone (661) 726-2850

Other practice location 2

10806 Cape Shore Ave
Las Vegas, NV 89166-6003
Phone (402) 214-1739

Other names 1

  • Amanda Hjorth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240521002299 NV Practitioner - Nurse Practitioner 6103268206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95050437CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Carlos O Ortega CurrentSince May 1, 2024 Accepting new patients

Locations

620 S Tonopah Dr
Las Vegas, NV 89106
Phone (702) 413-1391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1184096505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 CAPE SHORE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891666003",
            "telephone_number": "402-214-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064029",
            "telephone_number": "702-413-1391",
            "fax_number": "702-413-1392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 W Jackman St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342531",
            "country_code": "US",
            "telephone_number": "661-726-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10806 Cape Shore Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891666003",
            "country_code": "US",
            "telephone_number": "402-214-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESTLUND",
        "first_name": "AMANDA",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-25",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95050437",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "RN90612",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "875836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "HJORTH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.