Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Johnson, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1215215009

Amanda Johnson, PMHNP-BC is a Nurse Practitioner in Virginia Beach, Virginia. Qualified in 2011, 15 years ago. Practices with SE Virginia Value Based Care LLC, a 156-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Virginia.

Years since qualifying
15
Licensed in
KY, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3145 Virginia Beach Blvd Ste 108
Virginia Beach, VA 23452-6950
Phone: (757) 664-9700
Fax: (757) 664-9701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2201 Lexington Ave, Ashland, KY 41101-2843 — (606) 408-4000
  • 100 Fairview Dr, Franklin, VA 23851-1238 — (757) 516-1153

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024171804 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 0024171804 (VA)
Nurse Practitioner Taxonomy 363L00000X · Licence 3007008 (KY)

Record details

NPI number1215215009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 27, 2011
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Se Virginia Value Based Care Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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