Amanda Michelle Christmas, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lebanon, IN
NPI 1235804261 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1235804261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 71011446A (IN)
- Practice address
- 1310 S Lebanon St
Lebanon, IN 46052-3076 - Phone
- (765) 680-0071
- Fax
- (765) 436-0455
- NPI assigned
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011446A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness, LLC | Current |
Accepting new patients | |
| Witham Memorial Hospital | Current |
Accepting new patients | |
| Valley Oaks Health Inc | Current |
Accepting new patients | |
| Witham Memorial Hospital | Current |
Accepting new patients | |
| Valley Oaks Health Inc | Current |
Accepting new patients |
Locations
2485 E Wabash St
Frankfort, IN 46041
Phone (765) 656-3900
415 N 26th St
Ste 202
Lafayette, IN 47904
Phone (765) 446-6596
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
1310 S Lebanon St
Lebanon, IN 46052
Phone (765) 482-7005
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
1310 S Lebanon St
Ste C
Lebanon, IN 46052
Phone (765) 201-0407
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
1650 W Oak St
Ste 200
Zionsville, IN 46077
Phone (317) 912-1399
Interoperability endpoints
- achristmas@withamdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28211780A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71011446A | IN | Yes |
Addresses
Primary practice location
1310 S Lebanon St
Lebanon, IN 46052-3076
Mailing address
2605 N Lebanon St
Lebanon, IN 46052-1476
Other practice location 1
1650 W Oak St Ste 200
Zionsville, IN 46077-3836
Phone (765) 680-0071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300054325 | Medicaid | IN |
Other names
- Ms. Amanda Michelle Malerich
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | achristmas@withamdirect.org | Health Information Exchange (HIE) | Witham Memorial Hospital |
Other providers in Lebanon, IN
- CG-Dsa, LLC
- Lilly Chapman
- Kimra M Cheek
- Zachary Childers
- Tae Kae Chong
- Adam Anthony Cieciuch
- City Optical Co., Inc.
- Megan Clark
- Nicole C. Clark
- Samantha Cleary
All providers in Lebanon, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.