Individual provider Active NPI

Amanda D. Nason, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1396292033
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
901668 Issued in MS
Practice address
3531 Lakeland Dr
Flowood, MS 39232-8049
Phone
(601) 936-2024
NPI assigned
Sep 9, 2016
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 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 901668 MS Primary

Addresses

Primary practice location

3531 Lakeland Dr
Flowood, MS 39232-8049

Mailing address

145 Sycamore RDG
Madison, MS 39110-7333
Phone (601) 757-0582

Other names 1

  • Amanda D. Burns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Behavioral Health CurrentSince Sep 1, 2023 Accepting new patients

Locations

3531 Lakeland Dr
Ste 1052
Flowood, MS 39232
Phone (601) 829-4170

3531 Lakeland Dr
Jackson, MS 39232
Phone (601) 936-2024

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, 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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1396292033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SYCAMORE RDG",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107333",
            "telephone_number": "601-757-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328049",
            "telephone_number": "601-936-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASON",
        "first_name": "AMANDA",
        "middle_name": "D.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "901668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BURNS",
            "middle_name": "D.",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.