Amelia David, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Clancy, MT
NPI 1508540964 · NPPES record last updated Jan 25, 2024
Key facts
- NPI
- 1508540964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- NUR-APRN-LIC-216227 (MT)
- Practice address
- 7 Ramrock Rd
Clancy, MT 59634-3000 - Phone
- (406) 417-9401
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-APRN-LIC-216227 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Rural Behavioral Health Institute | Current |
Accepting new patients |
Interoperability endpoints
- rbhi.ameliadavid@156087.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NUR-APRN-LIC-216227 | MT | Yes |
Addresses
Primary practice location
7 Ramrock Rd
Clancy, MT 59634-3000
Mailing address
PO Box 203
Livingston, MT 59047-0203
Phone (406) 417-9401
Other providers in Clancy, MT
- Chronic Disease Management, LLC
- Clancy Nursing and Rehab Center LLC
- Joseph Elliott Cole
- County of Jefferson School District #1
- Angela Cristin Dailey
- Chase Davis
- Eagle Ambulance Service,Inc
- Makinzee Edwards
- Paul Elcan
- Elkhorn Health and Rehab
All providers in Clancy, MT · Psychiatric/Mental Health Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.