| Amanda Elizabeth Blue, APRN | |
|
710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, SC 29464-3045 | |
| (843) 800-1303 | |
| (888) 316-7714 |
| Full Name | Amanda Elizabeth Blue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770009565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WS0200X | Registered Nurse - School | 63137 (South Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 28984 (South Carolina) | Primary |
| Entity Name | Sweetgrass Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669985859 PECOS PAC ID: 4688932957 Enrollment ID: O20171213002990 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Elizabeth Blue, APRN 1572 Regimental Ln, Johns Island, SC 29455-3123 Ph: (843) 270-4426 | Amanda Elizabeth Blue, APRN 710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, SC 29464-3045 Ph: (843) 800-1303 |
Lesley Reyes, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Wingo Way Ste 306, Mount Pleasant, SC 29464 Phone: 843-884-1777 | |
Casey Lee, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 871 Lowcountry Blvd Ste 200, Mount Pleasant, SC 29464 Phone: 843-501-1099 | |
Emily Kolodziej, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1671 Belle Isle Ave Ste 110j, Mount Pleasant, SC 29464 Phone: 844-994-6633 Fax: 470-300-7913 | |
Abby Kent, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1012 Anna Knapp Ext, Mount Pleasant, SC 29464 Phone: 843-884-3070 | |
Zakihia Moultrie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2114 Highway 41 Ste 105, Mount Pleasant, SC 29466 Phone: 843-388-9000 | |
Mrs. Kristin Marie Ansley, NURSE PRACTITIONER, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 W Coleman Blvd, Ste 101, Mount Pleasant, SC 29464 Phone: 843-606-2530 | |
Brittney Cook, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1671 Belle Isle Ave Ste 110j, Mount Pleasant, SC 29464 Phone: 844-994-6633 Fax: 470-300-7913 |