Amanda R Blalock, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144205 Issued in TX

Practice address

1800 Shiloh Rd Ste 104
Tyler, TX 75703-2456

Phone

(903) 969-5125

Fax

(207) 536-2445

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Whispering Pines Psychiatry PLLCGroup PAC ID 1456873900, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Whispering Pines Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyler, TX
  • NPI 1659179893
  Medicare reassignment Care Compare group NPD Authorized official
• Andrews Center

  • Mental Health Counselor
  • Tyler, TX
  • NPI 1821064742
  Medicare reassignment NPD
• Andrews Center - Elliott St

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Canton, TX
  • NPI 1467900738
  NPD
• Andrews Center -Pinkerton

  • Social Worker
  • Tyler, TX
  • NPI 1538604715
  NPD

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1740681279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SHILOH RD STE 104",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032456",
            "telephone_number": "903-969-5125",
            "fax_number": "207-536-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SHILOH RD STE 104",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032456",
            "telephone_number": "903-969-5125",
            "fax_number": "207-536-2445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2323 W Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757027747",
            "country_code": "US",
            "telephone_number": "903-597-1351",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 E Lennon Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Emory",
            "state": "TX",
            "postal_code": "754403255",
            "country_code": "US",
            "telephone_number": "903-473-2652",
            "fax_number": "903-535-7384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407984001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://www.andrewscenter.com/home/",
            "affiliation": "N",
            "endpointDescription": "Andrews Center Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "To inform Clients of services available and how to request an appointment",
            "address_1": "2323 W Front St",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757027747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.whisperingpinespsychiatry.com",
            "affiliation": "N",
            "endpointDescription": "Whispering Pines Psychiatry website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "to inform clients of services available and request appointment",
            "address_1": "1800 Shiloh Rd Ste 104",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757032456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melodie Marian Blackmon, DO
• Bridgett Blackshire
• Genevieve J.T. Blackwelder, M.D.
• Georgia Leigh Blair, MD
• Jennifer Lynn Blakeney, M.S.
• Katelyn Michelle Blanchard, DDS, MSD
• Martin R Blanchard Jr., DC
• Holly Akin Blanco, M.D.
• Virginia Blankinship, FNP-C
• Branden Blanton, AGNP

• Psychiatric/Mental Health Nurse Practitioner in Tyler, TX
• Providers in Tyler, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.