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

MS. Kenny Adeshola Amanze, CRNP-PHM

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1962168468

MS. Kenny Adeshola Amanze, CRNP-PHM is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2017, 9 years ago. Works from 2 locations. Licensed in District of Columbia and Maryland.

Years since qualifying
9
Licensed in
DC, MD
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

915 Rhode Island Ave NW
Washington, DC 20001-4153
Phone: (240) 643-5160
Fax: (202) 644-7024
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2409 Baikal Loop, Upper Marlboro, MD 20774-7051 — (240) 643-5160

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R207092 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence NP1031662 (DC)

Record details

NPI number1962168468
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP-PHM
Sole proprietorNo
NPI enumeratedNovember 10, 2021
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Washington