Individual provider Active NPI

Amy Indence Steward, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1760160980
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5018811 Issued in NC
Practice address
1829 E Franklin St Ste 1200B
Chapel Hill, NC 27514-5838
Phone
(919) 200-0384
Fax
(919) 910-7033
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023061463 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018811 NC Primary

Addresses

Primary practice location

1829 E Franklin St Ste 1200B
Chapel Hill, NC 27514-5838

Mailing address

1829 E Franklin St Ste 1200B
Chapel Hill, NC 27514-5838
Phone (919) 200-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2023061463NCMDPsychiatric/Mental Health Nurse Practitioner
5018811NCMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1760160980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1200B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145838",
            "telephone_number": "919-200-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 E FRANKLIN ST STE 1200B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145838",
            "telephone_number": "919-200-0384",
            "fax_number": "919-910-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDENCE STEWARD",
        "first_name": "AMY",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2023061463",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.