Individual provider Active NPI

Amanda R. Uriarte, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1023817004
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9120252 Issued in FL
Practice address
1855 Veterans Park Dr Ste 201
Naples, FL 34109-0446
Phone
(239) 260-1033
Fax
(239) 260-1491
NPI assigned
Mar 11, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9120252 FL Primary

Addresses

Primary practice location

1855 Veterans Park Dr Ste 201
Naples, FL 34109-0446

Mailing address

21190 White Oak Ave
Boca Raton, FL 33428-1715
Phone (561) 405-8325

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
I20250617000428 FL Practitioner - Physician Assistant 9931610987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9120252FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: amanda.uriarte.1@3809.direct.athenahealth.com

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": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1023817004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21190 WHITE OAK AVE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281715",
            "telephone_number": "561-405-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 VETERANS PARK DR STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090446",
            "telephone_number": "239-260-1033",
            "fax_number": "239-260-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIARTE",
        "first_name": "AMANDA",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9120252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.