Individual provider Active NPI

Amanda Christine Howard, PMHNP-BC, RN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1538904016
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-188141 Issued in AL
Practice address
3929 Airport Blvd Ste 2-204
Mobile, AL 36609-2241
Phone
(251) 480-0070
NPI assigned
Jun 27, 2024
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-188141 AL Primary
Registered Nurse 163W00000X 1-188141 AL

Addresses

Primary practice location

3929 Airport Blvd Ste 2-204
Mobile, AL 36609-2241

Mailing address

6101 Quail Run S
Theodore, AL 36582-8805
Phone (251) 454-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250121002283 AL Practitioner - Nurse Practitioner 2567991508 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-188141ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Collective LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

3929 Airport Blvd
Ste 2-204
Mobile, AL 36609
Phone (251) 421-2812

960 Downtowner Blvd
Mobile, AL 36609
Phone (251) 480-0070

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": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1538904016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 QUAIL RUN S",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365828805",
            "telephone_number": "251-454-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 AIRPORT BLVD STE 2-204",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092241",
            "telephone_number": "251-480-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC, RN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-188141",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-188141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.