Individual provider Active NPI

Amanda Gant, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
National Provider Identifier
1972216273
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
862035 Issued in NV
Practice address
4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone
(775) 221-7400
Fax
(775) 657-6551
NPI assigned
Jan 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 862035 NV Primary

Addresses

Primary practice location

4773 Caughlin Pkwy
Reno, NV 89519-1011

Mailing address

4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone (775) 221-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20230116000803 NV Practitioner - Nurse Practitioner 5698146371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Duncan Family Healthcare PLLCGroup PAC ID 1355649013, 3 clinicians

Practice addresses (Care Compare)

4773 Caughlin Pkwy
Reno, NV 89519-1011
Phone (775) 221-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
862035NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duncan Family Healthcare PLLC CurrentSince Jan 2, 2023 Accepting new patients

Locations

4773 Caughlin Pkwy
Reno, NV 89519
Phone (775) 221-7400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13354/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.gant.1@13354.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1972216273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-221-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 CAUGHLIN PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191011",
            "telephone_number": "775-221-7400",
            "fax_number": "775-657-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANT",
        "first_name": "AMANDA",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "862035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.