Amanda Simmons

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9364119 Issued in FL

Practice address

3890 Jenks Ave
Lynn Haven, FL 32444-4701

Phone

(850) 215-6400

NPI assigned

Feb 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.simmons.1@3219.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3219/brand/1/csg/1/fhir/r4

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.

• Emerald Coast Rheumatology LLC

  • Rheumatology Physician
  • Lynn Haven, FL
  • NPI 1427346469
  Medicare reassignment NPD

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1033577374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVENUE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "32444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 JENKS AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444701",
            "telephone_number": "850-215-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9364119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Heart Medical Group
• Lourdes M. Sanchez-Rodriguez, LMHC
• Amanda Johnson Sapp, NP-C
• Amelia Rose Schillemat
• Christine Mariko Scott
• Douglas Carlton Smelcer
• Camille Goethe Smith, MSW
• Kimberly Nicole Snow, APRN
• Crystal Lateesa Snyder
• St. Andrew Bay Center, Inc.

• Family Nurse Practitioner in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.