Amanda Kirkham, FNP/PMHNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

235701 Issued in AZ

Practice address

560 W Brown Rd Ste 3001
Mesa, AZ 85201-3225

Phone

(623) 205-0456

NPI assigned

Dec 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Assisteo Home Health Home health agency, Phoenix, AZ, CCN 037262

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: amanda.robinson@75623782744068.direct.elationemr.com

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.

• Peaks Primary Care, LLC

  • Primary Care Nurse Practitioner
  • Prescott, AZ
  • NPI 1700583879
  Medicare reassignment NPD
• Heart and Mind LLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1093577314
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Azhomehealth LLC

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1568639557
  Care Compare affiliation

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1669010757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 N GILBERT RD STE 2-500",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032139",
            "telephone_number": "623-205-0456",
            "fax_number": "480-741-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W BROWN RD STE 3001",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013225",
            "telephone_number": "623-205-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "AMANDA",
        "credential": "FNP/PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "235701",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Elle Kircher
• Kirit N Patel MDPC
• Cameron Gregory Kirk-Lutcher, DSP
• Michelle Lynn Kirk, NMD
• Abigail Grace Kirkham
• Mackenzie Kirsch, PHARMD, RPH
• Johnathan Kirupakaran, DO
• Haroon Kisana
• Angela Channelle Kiselyk
• Samara Kister

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.