Amanda Ellen Cowart, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

242549 Issued in AZ

Practice address

924 N Country Club Dr
Mesa, AZ 85201-4108

Phone

(480) 222-3205

NPI assigned

Jul 8, 2020

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 names 1

• Amanda Ellen Bryant Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Gregory Carr MD LLCGroup PAC ID 3072828607, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acowart@destiny-springs-hc.direct.kno2fy.com

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.

• Dr. Gregory Carr MD LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1386041861
  Medicare reassignment Care Compare group
• Partners in Recovery, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1922232925
  Medicare reassignment NPD
• Partners in Recovery, LLC

  dba ACT Metro IHH

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1306698436
  NPD
• Partners in Recovery, LLC

  • Community/Behavioral Health Agency
  • Glendale, AZ
  • NPI 1659623882
  NPD
• Destiny Springs Healthcare, LLC

  • Psychiatric Hospital
  • Surprise, AZ
  • NPI 1467947101
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1831717636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16561 W DESERT LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853881152",
            "telephone_number": "850-217-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N COUNTRY CLUB DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852014108",
            "telephone_number": "480-222-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWART",
        "first_name": "AMANDA",
        "middle_name": "ELLEN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "242549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "924 N Country Club Dr",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852014108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "BRYANT",
            "middle_name": "ELLEN",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Covert, PTA
• Cami Michelle Covey-Doucet, L.A.C.
• Kyra Covey
• Kenton Covington, DDS
• Stan Lavell Covington, DDS
• Rachel Renee Cowell, L.AC.
• Cox and Cox, L.L.C.
• Angela Sue Cox
• Camille E. Cox, F.N.P.
• David Cox, DO

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.