Individual provider Active NPI

Amanda Dawn Dozier, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mason, OH
National Provider Identifier
1558156778
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0038066 Issued in OH
Practice address
5412 Courseview Dr Ste 215
Mason, OH 45040-2410
Phone
(513) 317-8949
NPI assigned
Apr 9, 2025
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 APRN.CNP.0038066 OH Primary

Addresses

Primary practice location

5412 Courseview Dr Ste 215
Mason, OH 45040-2410

Mailing address

5412 Courseview Dr Ste 215
Mason, OH 45040-2410
Phone (513) 317-8949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250623002720 OH Practitioner - Nurse Practitioner 6901318286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Side Wellness Associates, LLCGroup PAC ID 4587934823, 12 clinicians

Practice addresses (Care Compare)

5412 Courseview Dr
Suite 215
Mason, OH 45040-2410
Phone (513) 204-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038066OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Side Wellness Associates, LLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients

Locations

3615 Socialville Foster Rd
Ste C
Mason, OH 45040
Phone (513) 204-1910

5412 Courseview Dr
Ste 215
Mason, OH 45040
Phone (513) 204-1910

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": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1558156778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 COURSEVIEW DR STE 215",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402410",
            "telephone_number": "513-317-8949",
            "fax_number": "513-548-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5412 COURSEVIEW DR STE 215",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450402410",
            "telephone_number": "513-317-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOZIER",
        "first_name": "AMANDA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.