Individual provider Active NPI

Amy Everhart, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1376187427
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029688 Issued in OH
Practice address
635 Park Meadow Rd Ste 203
Westerville, OH 43081-2877
Phone
(614) 820-1091
Fax
(614) 585-8544
NPI assigned
Nov 1, 2019
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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 APRN.CNP.0029688 OH Primary

Addresses

Primary practice location

635 Park Meadow Rd Ste 203
Westerville, OH 43081-2877

Mailing address

1841 S 3 BS and K Rd
Galena, OH 43021-9242
Phone (740) 815-4195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0029688OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woulfe Health and Wellness Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients
Holistic Wellness Solutions LLC Psychiatric/Mental Health PastSince Feb 8, 2023 Accepting new patients

Locations

635 Park Meadow Rd
Ste 203
Westerville, OH 43081
Phone (614) 820-1091

Organizations & group practices 2

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1376187427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S 3 BS AND K RD",
            "city": "GALENA",
            "state": "OH",
            "postal_code": "430219242",
            "telephone_number": "740-815-4195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 PARK MEADOW RD STE 203",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812877",
            "telephone_number": "614-820-1091",
            "fax_number": "614-585-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERHART",
        "first_name": "AMY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.