Amber Survant

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3011638 Issued in KY

Practice address

100 W 3Rd St Ste 305
Owensboro, KY 42303-4129

Phone

(270) 240-2320

NPI assigned

Aug 14, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Grace Behavioral Health LLCGroup PAC ID 0749543049, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grace Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Owensboro, KY
  • NPI 1629577622
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Gayle McFarling

  • Clinical Social Worker
  • Owensboro, KY
  • NPI 1215304985
  NPD

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407371289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5668 PANTHER CREEK PARK DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423018021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 3RD ST STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034129",
            "telephone_number": "270-240-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 4th St",
            "address_purpose": "LOCATION",
            "city": "Lewisport",
            "state": "KY",
            "postal_code": "423512526",
            "country_code": "US",
            "telephone_number": "270-255-4341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURVANT",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3011638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Bell Counseling LLC
• Summit Medical Specialists PSC
• Miranda Ann Sumner, LCSW
• Sunrise Children's Services (Lakes and Rivers Region Foster Care - Owensboro)
• Sunrise Children's Services, Inc. (Owensboro Family Services)
• Alexis B Sutherland
• Rian B Sutherland, RD, CDE
• Okan Suzer, MD
• Sylvia Lorraine Sweatt, APRN
• Terry L Sweatt, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.