Active NPI
Amena Khan, NP
- Acute Care Nurse Practitioner
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11012065
- Practice address
- 4029 Seadragon BLF
Spring Hill, FL 34609-0529 - Phone
- (813) 464-0371
- NPI assigned
- Oct 21, 2025
- Last updated
- Oct 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11012065 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cerebrum Healthcare LLC | Current | 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.
-
- Neurology Physician
- Tampa, FL
- NPI 1255849055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.