Individual provider Active NPI

Dana Elizabeth Ahmed, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1992418420
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4006188 Issued in KY
Practice address
2053 Huckleberry Cir
Lexington, KY 40514-1319
Phone
(270) 570-6586
NPI assigned
Dec 29, 2022
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4006188 KY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 112130-23 NH

Addresses

Primary practice location

2053 Huckleberry Cir
Lexington, KY 40514-1319

Mailing address

2053 Huckleberry Cir
Lexington, KY 40514-1319
Phone (270) 570-6586

Other practice location 1

84 W Broadway Ste 200
Derry, NH 03038-2323
Phone (307) 200-2803

Other practice location 2

814 Elm St Ste 313
Manchester, NH 03101-2130
Phone (603) 321-0084

Other identifiers 1

IdentifierTypeStateIssuer
3146539MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230808002992 KY Practitioner - Nurse Practitioner 0941662977 Reassigns benefits to 2 organizations
I20251226000322 NH Practitioner - Nurse Practitioner 0941662977

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 Business Pkwy S
Suite 1
Westminster, MD 21157-3048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4006188KYMDPsychiatric/Mental Health Nurse Practitioner
112130-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMHC Wellness Lodge LLC CurrentSince Jan 1, 2026 Accepting new patients
Sa Rosebud Home LLC CurrentSince Jan 1, 2026 Accepting new patients
Addiction Wellness Center NH LLC CurrentSince Oct 4, 2025 Accepting new patients
Tranquility Behavioral Health Clinic PLLC Psychiatric/Mental Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

210 Malabu Dr
Ste 128
Lexington, KY 40502
Phone (561) 779-2123

444 Glen Arvin Ave
Lexington, KY 40508
Phone (561) 779-2123

1100 Business Pkwy S
Ste 1
Westminster, MD 21157

84 W Broadway
Ste 200
Derry, NH 03038
Phone (508) 484-3034

814 Elm St
Ste 313
Manchester, NH 03101
Phone (603) 321-0084

35 Industrial Way
Ste 11B
Rochester, NH 03867
Phone (603) 321-0084

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1992418420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 HUCKLEBERRY CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141319",
            "telephone_number": "270-570-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 HUCKLEBERRY CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141319",
            "telephone_number": "270-570-6586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "84 W Broadway Ste 200",
            "address_purpose": "LOCATION",
            "city": "Derry",
            "state": "NH",
            "postal_code": "030382323",
            "country_code": "US",
            "telephone_number": "307-200-2803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "814 Elm St Ste 313",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031012130",
            "country_code": "US",
            "telephone_number": "603-321-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "DANA",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4006188",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "112130-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3146539",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.