Individual provider Active NPI

Amena Khan, NP

  • Acute Care Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1013884212
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11012065 Issued in FL
Practice address
4029 Seadragon BLF
Spring Hill, FL 34609-0529
Phone
(813) 464-0371
NPI assigned
Oct 21, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11012065 FL Primary

Addresses

Primary practice location

4029 Seadragon BLF
Spring Hill, FL 34609-0529

Mailing address

4029 Seadragon BLF
Spring Hill, FL 34609-0529

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
I20251223003427 FL Practitioner - Nurse Practitioner 9436644762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cerebrum Healthcare LLCGroup PAC ID 8729341847, 19 clinicians

Practice addresses (Care Compare)

16605 SE 74TH Soulliere Ave
Chatham Glen Healthcare and Rehabilitation Ce
The Villages, FL 32162-0089
Phone (352) 492-4929

1818 E Fletcher Ave
The Bristol at Tampa Nursing
Tampa, FL 34655-5186
Phone (813) 971-2383

18440 Exciting Idlewild Blvd
Angels Senior Living of the Lodges of Idlew
Lutz, FL 33548-4573
Phone (813) 264-8200

30070 State Rd
Suite 56
Wesley Chapel, FL 33543-7628
Phone (813) 508-6677

3225 S Macdill Ave
Suite 129/300
Tampa, FL 33629-8171

37411 Eiland Blvd
Rosecastle of Zephyrhills
Zephyrhills, FL 33542-1800
Phone (813) 783-8100

5121 E Serena Dr
Palm Terrace Alf
Tampa, FL 33617-4012
Phone (813) 988-0033

6120 Congress St
New Port Richey, FL 34653-3909
Phone (727) 846-9288

6140 Congress St
New Port Richey, FL 34653-3909
Phone (727) 842-8402

8684 Old County Rd
Suite 54
New Port Richey, FL 34653-6412
Phone (727) 339-1300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11012065FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cerebrum Healthcare LLC CurrentSince Oct 31, 2025 Accepting new patients

Locations

3225 S Macdill Ave
Tampa, FL 33629
Phone (813) 451-0013

3225 S Macdill Ave
Ste 129300
Tampa, FL 33629
Phone (813) 324-1911

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1013884212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 SEADRAGON BLF",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 SEADRAGON BLF",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090529",
            "telephone_number": "813-464-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "AMENA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11012065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.