Amanda K Haworth, APRN, CNM, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

53-82235-012 Issued in KS

Practice address

535 S Emporia Ave Ste 103
Wichita, KS 67202-4534

Phone

(316) 841-6861

Fax

(316) 854-9673

NPI assigned

Jun 16, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Season Health LLCGroup PAC ID 7113366444, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, 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.

• Season Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1235824525
  Medicare reassignment Care Compare group NPD
• Willow Tree LLC

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1306233077
  Medicare reassignment NPD
• Haworth Health and Wellness

  • Advanced Practice Midwife
  • Wichita, KS
  • NPI 1033874250
  NPD Authorized official
• Haworth Health and Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wichita, KS
  • NPI 1902542749
  NPD Authorized official

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1962027847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S EMPORIA AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024534",
            "telephone_number": "316-841-6861",
            "fax_number": "316-854-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S EMPORIA AVE STE 103",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672024534",
            "telephone_number": "316-841-6861",
            "fax_number": "316-854-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWORTH",
        "first_name": "AMANDA",
        "middle_name": "K",
        "credential": "APRN, CNM, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-16",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "KS",
            "license": "53-78649",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-82235-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda@willowtreewichita.com",
            "affiliation": "N",
            "address_1": "7348 W 21st St N Ste 107",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672051765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Christine Hawks, A.R.N.P.
• Benjamin Hawley, MD
• Samantha Hawley, LMSW
• Haworth Health and Wellness
• Haworth Health and Wellness, LLC
• Janet L Hawthorne, PH D
• Michelle Hawthorne, PHARMD
• Cathryn Anne Hay, PH.D, NCC, LCPC
• Jaimie Hay, CRNA
• Heather M Hayden, LCMFT

• Psychiatric/Mental Health Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.