Amanda Lehman, CRNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP016923 Issued in PA

Practice address

1123 Russell Ave
Fountain Hill, PA 18015-4009

Phone

(610) 739-7251

NPI assigned

Dec 5, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Moonshot Psychiatric Nurse Practitioner PCGroup PAC ID 9335589696, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Moonshot Psychiatric Nurse Practitioner PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
  • NPI 1669158879

  PA

  Medicare reassignment Care Compare group NPD
• Isl, LTD

  • Psychiatry Physician
  • Stroudsburg, PA
  • NPI 1770592370
  Medicare reassignment NPD
• Methodist Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bangor, PA
  • NPI 1457386328
  Medicare reassignment NPD
• Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1619106382
  Medicare reassignment NPD

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1821532276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 RUSSELL AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 RUSSELL AVE",
            "city": "FOUNTAIN HILL",
            "state": "PA",
            "postal_code": "180154009",
            "telephone_number": "610-739-7251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18-20 Lackawanna Plz Ste 300",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "070423642",
            "country_code": "US",
            "telephone_number": "855-444-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "AMANDA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP016923",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15048300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE APN LICENSURE",
            "identifier": "26NJ15048300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sinan Kutty, M.D.
• Jaime Kutzura, COTA
• Kelley Elaine Lakatos, PAC
• Lehigh Valley Physician Group
• Lehigh Valley Physician Group
• Melissa Kershner Lenihan, MS
• Ronald J Leon
• Samuel Isaac Levine
• Life Guidance, LLC
• Margo Alexandra Lightman, ACNP

• Psychiatric/Mental Health Nurse Practitioner in Fountain Hill, PA
• Providers in Fountain Hill, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.