Individual provider Active NPI

Amanda Grizzle, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dryden, VA
National Provider Identifier
1467269035
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024191753 Issued in VA
Practice address
512 Dryden Loop
Dryden, VA 24243
Phone
(276) 212-4325
NPI assigned
Dec 16, 2024
Last updated
May 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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 0024191753 VA Primary

Addresses

Primary practice location

512 Dryden Loop
Dryden, VA 24243

Mailing address

439 Overview Loop
Jonesville, VA 24263-7929
Phone (276) 219-5323

Other names 1

  • Amanda Grizzle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 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

Enrollment IDStateProvider typePAC IDDetails
I20251030000725 VA Practitioner - Nurse Practitioner 6608365622 Reassigns benefits to 1 organization
I20260616001326 TN Practitioner - Nurse Practitioner 6608365622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

159 4TH Ave N
Suite 100
Nashville, TN 37219-2403

42114 Barrymoore PL
Chantilly, VA 20152-6443

439 Overview Loop
Suite 100
Jonesville, VA 24263-7929

512 Dryden Loop
Dryden, VA 24243-8366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024191753VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Mental Health Services LLC Psychiatric/Mental Health CurrentSince Aug 1, 2025 Accepting new patients

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1467269035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 OVERVIEW LOOP",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242637929",
            "telephone_number": "276-219-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 DRYDEN LOOP",
            "city": "DRYDEN",
            "state": "VA",
            "postal_code": "24243",
            "telephone_number": "276-212-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZLE",
        "first_name": "AMANDA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GRIZZLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dryden, VA

Sources for this page

Verify at the official NPI Registry.