Individual provider Active NPI

Amanda Nicole Durrett, FNP

  • Family Nurse Practitioner
  • Hudson, FL
National Provider Identifier
1003644055
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11033003 Issued in TN
Practice address
14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065
Phone
(727) 605-3000
Fax
(727) 378-4809
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11033003 TN Primary

Addresses

Primary practice location

14153 Yosemite Dr Ste 104
Hudson, FL 34667-8065

Mailing address

1001 Mason Tucker Dr Apt Kk295
Smyrna, TN 37167-5633
Phone (615) 969-6830

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
I20260329000069 FL Practitioner - Nurse Practitioner 1850813239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10765 Hawks Landing Dr
Land O Lakes, FL 34638-0144

3633 Little Rd
Suite 103
Trinity, FL 34655-1815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11033003TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine MD LLC Current Accepting new patients
Internal Medicine MD LLC Current Accepting new patients

Locations

14153 Yosemite Dr
Hudson, FL 34667
Phone (727) 267-8261

14153 Yosemite Dr
Ste 104
Hudson, FL 34667
Phone (727) 605-3000

3633 Little Rd
Ste 103
Trinity, FL 34655
Phone (352) 293-2810

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIGICD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIGICD/Endpoint/BIGICD

Organizations & group practices 2

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1003644055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MASON TUCKER DR APT KK295",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675633",
            "telephone_number": "615-969-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 104",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346678065",
            "telephone_number": "727-605-3000",
            "fax_number": "727-378-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRETT",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APRN11033003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.