Amy R. Pharr, APRN, FPMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024185787 Issued in VA

Practice address

268 Northumberland Hwy
Callao, VA 22435-2222

Phone

(804) 246-4942

Fax

(843) 299-2474

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Columbus Family Medical PA

  dba Brunswick Family Medical

  • Family Medicine Physician
  • Shallotte, NC
  • NPI 1114028859
  Medicare reassignment NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• East Coast Telepsychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Callao, VA
  • NPI 1750044426

  Family

  NPD Authorized official
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Laurinburg, NC
  • NPI 1740628734
  NPD
• Doctors Collaborative Care Solutions

  • General Practice Physician
  • Miami, FL
  • NPI 1831548783
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1275537037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 LAKE RD",
            "city": "LOTTSBURG",
            "state": "VA",
            "postal_code": "225112667",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 NORTHUMBERLAND HWY",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352222",
            "telephone_number": "804-246-4942",
            "fax_number": "843-299-2474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "861 Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Lottsburg",
            "state": "VA",
            "postal_code": "225112667",
            "country_code": "US",
            "telephone_number": "843-299-2033 x5",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Lagrande Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295768170",
            "country_code": "US",
            "telephone_number": "843-299-2033 x5",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12106 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347882983",
            "country_code": "US",
            "telephone_number": "843-299-2033 x5",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 Longfellow Ave Apt 4B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104592649",
            "country_code": "US",
            "telephone_number": "843-299-2033 x5",
            "fax_number": "843-299-2474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARR",
        "first_name": "AMY",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "APRN, FPMHNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200913",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185787",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024185787",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11010917",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "200913",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "24387APRN",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "403874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantal McRae, DPT
• Ryan Richard Milliken, PHARMD
• Linda Kay Mitchell
• Charlette Morris
• Latoya Renee Muse, RN
• Janett Shanell Reed, FNP-C
• Susana Urbanan Relao
• Janeen Michele Richards, RPH
• Mary M Snell, RPH
• Beverly J Thomas, RPH

• Psychiatric/Mental Health Nurse Practitioner in Callao, VA
• Providers in Callao, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.