Individual provider Active NPI

Amber Irwin

  • Psychiatric/Mental Health Nurse Practitioner
  • West Union, OH
National Provider Identifier
1609572965
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-CNP.0033173 Issued in OH
Practice address
192 Chestnut Ridge Rd
West Union, OH 45693-9584
Phone
(937) 544-5581
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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.0033173 OH Primary

Addresses

Primary practice location

192 Chestnut Ridge Rd
West Union, OH 45693-9584

Mailing address

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Other practice location 1

901 Washington St
Portsmouth, OH 45662-3944
Phone (740) 354-7702

Other practice location 2

225 Carlton Davidson Ln
Coal Grove, OH 45638-2924
Phone (740) 533-0648

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
I20240612000339 OH Practitioner - Nurse Practitioner 1456893908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-CNP.0033173OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shawnee Mental Health Center, Inc. CurrentSince Mar 24, 2024 Accepting new patients
Shawnee Mental Health Center, Inc. CurrentSince Mar 24, 2024 Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients
Shawnee Mental Health Center, Inc. Past Accepting new patients

Locations

225 Carlton Davidson Ln
Coal Grove, OH 45638
Phone (740) 354-7702

901 Washington St
Portsmouth, OH 45662
Phone (740) 354-7702

192 Chestnut Ridge Rd
West Union, OH 45693
Phone (937) 544-5581

Interoperability endpoints

  • Direct secure messaging: amber.irwin.p1@direct.shawneemhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1609572965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456623944",
            "telephone_number": "740-354-7702",
            "fax_number": "740-353-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 CHESTNUT RIDGE RD",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456939584",
            "telephone_number": "937-544-5581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Washington St",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623944",
            "country_code": "US",
            "telephone_number": "740-354-7702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Carlton Davidson Ln",
            "address_purpose": "LOCATION",
            "city": "Coal Grove",
            "state": "OH",
            "postal_code": "456382924",
            "country_code": "US",
            "telephone_number": "740-533-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRWIN",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN-CNP.0033173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

Verify at the official NPI Registry.