Individual provider Active NPI

Amber Hitson D'Olimpio, RN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1740828763
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021027960 Issued in AL
Practice address
233 Winton Blount Loop
Montgomery, AL 36117-3507
Phone
(334) 270-5502
NPI assigned
Dec 20, 2019
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-153392 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021027960 AL Primary
Registered Nurse 163W00000X 1-153392 AL

Addresses

Primary practice location

233 Winton Blount Loop
Montgomery, AL 36117-3507

Mailing address

1953 Morningside Dr
Alexander City, AL 35010-3154
Phone (334) 399-0660

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210908003206 AL Practitioner - Nurse Practitioner 5395141865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-153392ALMDRegistered Nurse
2021027960ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Psychiatry Associates LLC CurrentSince Jul 14, 2021 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

3368 Highway 280
Alexander City, AL 35010
Phone (256) 215-3490

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

7125 University Ct
Montgomery, AL 36117

208 W Fort Williams St
Sylacauga, AL 35150
Phone (256) 249-0943

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1740828763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 MORNINGSIDE DR",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103154",
            "telephone_number": "334-399-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WINTON BLOUNT LOOP",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361173507",
            "telephone_number": "334-270-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'OLIMPIO",
        "first_name": "AMBER",
        "middle_name": "HITSON",
        "credential": "RN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-153392",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "2021027960",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-153392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.