Amy Lee Burkhardt, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1-084741 Issued in AL

Practice address

1110 Montlimar Dr Ste 500
Mobile, AL 36609-1794

Phone

(251) 490-1864

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Virginia IncGroup PAC ID 3971945924, 32 clinicians

South Alabama Medical Clinic, LLCGroup PAC ID 0345428363, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of Virginia, Inc.

  • Counseling Psychologist
  • Mobile, AL
  • NPI 1851164271
  Medicare reassignment Care Compare group NPD
• South Alabama Medical Clinic, LLC

  • Rural Health Clinic/Center
  • Grand Bay, AL
  • NPI 1811288038

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • Mobile, AL
  • NPI 1669365086
  NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1053290973
  NPD

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1629070503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 MONTLIMAR DR STE 500",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MONTLIMAR DR STE 500",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091794",
            "telephone_number": "251-490-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHARDT",
        "first_name": "AMY",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1853",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-084741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1025IO3019",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Machelle Burke, PHARMACIST
• Alexander Burkett
• Elizabeth Anderson Burkett, MD
• Jared Locke Burkett, MD
• Jayda Celeste Burkett, LMT
• Burklow Development Inc
• Troy Raymond Burley, PT
• Lana Sides Burnett, CRNP
• Mary Sellers Burnett, LPC
• Sebrina Burnett, DO

• Psychiatric/Mental Health Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.