Amanda Marie Jayaraman

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10993 Issued in AZ

Practice address

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Phone

(720) 507-4779

Fax

(833) 941-5047

NPI assigned

Mar 1, 2018

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.jayaraman.1@27879.direct.athenahealth.com

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.

• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1760928766
  Medicare reassignment Care Compare group NPD
• Mile High Psychiatry, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Northglenn, CO
  • NPI 1912793894
  NPD
• Mile High Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, CO
  • NPI 1407681174
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1568964997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 E WINGED FOOT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852497284",
            "telephone_number": "319-530-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "358 E Javelina Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852106205",
            "country_code": "US",
            "telephone_number": "480-507-3180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAYARAMAN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER",
            "identifier": "AP10993",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania Javed
• Javier Waksman MD,PC.
• Irene Jaw, NP
• Ahmed Jawad, DMD
• Prerana Jayanth
• Laura Abigail Jayne, MD
• Halley Jaynes-Fournier, MFTC
• JB Transit LLC
• Elizabeth Jean-Marie, MD
• Rachel Jecker

• Psychiatric/Mental Health Nurse Practitioner in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.