Amanda Boyd, CRNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Birmingham, AL
NPI 1447640321 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1447640321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-112941 (AL)
- Practice address
- 2200 Lakeshore Dr
Ste 150
Birmingham, AL 35209-8803 - Phone
- (205) 871-6926
- Fax
- (205) 871-7981
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grayson and Associates PC
Vincentian Physician Services LLC
Practice addresses (Care Compare)
1200 Corporate Dr
Suite 125
Birmingham, AL 35242-5447
Phone (205) 329-7992
3504 Vann Rd
Suite 100
Birmingham, AL 35235-3221
Phone (205) 655-0585
48 Medical Park Dr E
Suite 159
Birmingham, AL 35235-3462
Phone (205) 930-2466
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150427002169 | AL | Practitioner - Nurse Practitioner | 4082933908 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vincentian Physician Services LLC | Current |
Accepting new patients | |
| Grayson and Associates PC | Current |
Accepting new patients | |
| SVPS Psychiatric Services LLC | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
48 Medical Park Dr E
Ste 159
Birmingham, AL 35235
Phone (205) 838-3349
2200 Lakeshore Dr
Ste 150
Homewood, AL 35209
Phone (205) 397-4774
100 Concourse Pkwy
Ste 101
Hoover, AL 35244
Phone (205) 444-0420
Interoperability endpoints
- amanda.boyd.1@9069.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-112941 | AL | Yes |
Addresses
Primary practice location
2200 Lakeshore Dr
Ste 150
Birmingham, AL 35209-8803
Mailing address
2204 Lakeshore Dr
Ste 170
Birmingham, AL 35209-6729
Phone (205) 397-4783
Other practice location 1
48 Medical Park Dr E Ste 159
Birmingham, AL 35235-3462
Phone (205) 838-3349
Other providers in Birmingham, AL
- Sarah Elizabeth Bowman
- Rachael Boxwell
- Christopher Thomas Boyce
- James R Boyce
- Boyd Internal Medicine PC
- Ashlyn Boyd
- Bresia Boyd
- Brittiny Boyd
- Clarence Dewayne Boyd
- Gary L Boyd
All providers in Birmingham, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.