Amanda R Spivey, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1178476 Issued in TX

Practice address

340 S George Nigh Expy
McAlester, OK 74501-6075

Phone

(918) 420-9854

NPI assigned

Mar 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, OK2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCS Medical PAGroup PAC ID 0042507600, shared by 18 NPIs, 155 clinicians

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

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.

• Williams Medical Group Practice, LLC

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment Care Compare group NPD
• DCS Medical PA

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768
  Medicare reassignment NPD
• Supportive Care of Texas PC

  • Nurse Practitioner
  • Garland, TX
  • NPI 1174247126
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Collinsville, OK
  • NPI 1215751508
  NPD
• DCS Medical PA

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  NPD
• Williams Medical Group Practice, LLC

  • Rural Health Clinic/Center
  • Dodge City, KS
  • NPI 1578133328
  NPD (past)

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1366037194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SHADY PINES RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755018876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S GEORGE NIGH EXPY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745016075",
            "telephone_number": "918-420-9854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Shady Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755018876",
            "country_code": "US",
            "telephone_number": "903-701-6790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "679660",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "223019",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1178476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Respiratory Service, LLC
• Nancy Sparks, BHR
• Raina Ann Sparks, RD/LD
• Brooke Aline Spears
• Krista M. Spears
• Kristy Lyn Spivey, NP
• Shay B Stacey
• Hailey Jo Stacy
• Dennis R Staggs, D.O.
• Paige Stancell, COTA/L

• Psychiatric/Mental Health Nurse Practitioner in McAlester, OK
• Providers in McAlester, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.

Verify at the official NPI Registry.