Amanda Elizabeth Blue, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28984 Issued in SC

Practice address

710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045

Phone

(843) 800-1303

Fax

(888) 316-7714

NPI assigned

Aug 14, 2017

Last updated

Sep 23, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sweetgrass Psychiatry LLC

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1669985859
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1770009565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 REGIMENTAL LN",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294553123",
            "telephone_number": "843-270-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 JOHNNIE DODDS BLVD STE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643045",
            "telephone_number": "843-800-1303",
            "fax_number": "888-316-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1572 Regimental Ln",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294553123",
            "country_code": "US",
            "telephone_number": "843-270-4426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 Thomasina McPherson Blvd",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294058283",
            "country_code": "US",
            "telephone_number": "843-745-2184",
            "fax_number": "843-745-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "AMANDA",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28984",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "SC",
            "license": "63137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Blecher, M.D.
• Jacob Blessing, LPC
• Melanie Blohm, M.D.
• Bloom Children's Therapy
• Nicole Ann Bloxom
• Briana G Bluemel, DC
• Ashlin Blum, LISW-CP,BCBA
• Sylvia Davis Blyth, R.D., L.D.
• Barbara S Boatwright, PHD
• Cynthia Boatwright, LPC

• Psychiatric/Mental Health Nurse Practitioner in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Psychiatric/Mental Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.