Individual provider Active NPI

Amanda A Capsanes, APRN

  • Family Nurse Practitioner
  • Delray Beach, FL
National Provider Identifier
1003377029
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11001197 Issued in FL
Practice address
6290 Linton Blvd Ste 204
Delray Beach, FL 33484-6409
Phone
(561) 499-0299
NPI assigned
Mar 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN11001197 FL
Family Nurse Practitioner 363LF0000X 11001197 FL Primary

Addresses

Primary practice location

6290 Linton Blvd Ste 204
Delray Beach, FL 33484-6409

Mailing address

6290 Linton Blvd Ste 204
Delray Beach, FL 33484-6409
Phone (561) 499-0299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200721001204 FL Practitioner - Nurse Practitioner 8325462575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001197FLMDFamily Nurse Practitioner
APRN11001197FLMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Allenby & Associates Dermatology Specialist Inc PastSince Sep 5, 2023 Accepting new patients

Locations

100 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

98 Terra Mango Loop
Ste 12
Orlando, FL 32835
Phone (407) 354-0717

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Organizations & group practices 3

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1003377029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 LINTON BLVD STE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846409",
            "telephone_number": "561-499-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 LINTON BLVD STE 204",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846409",
            "telephone_number": "561-499-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPSANES",
        "first_name": "AMANDA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-31",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "APRN11001197",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11001197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.