Amanda Parker, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN11020640 Issued in FL

Practice address

5205 E Fletcher Ave
Temple Terrace, FL 33617-1126

Phone

(813) 987-2911

Fax

(813) 987-2853

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aparker1088724@direct.hopkinsmedicine.org

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.

• Pediatric Gastroenterology Hepatology & Nutrition of FL P a

  • Pediatric Gastroenterology Physician
  • St Petersburg, FL
  • NPI 1780787382
  NPD
• Pediatric Physician Services, Inc.

  • Pediatrics Physician
  • St Petersburg, FL
  • NPI 1770532798
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1053045757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 58TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337141326",
            "telephone_number": "727-822-4300",
            "fax_number": "727-456-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 E FLETCHER AVE",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-987-2911",
            "fax_number": "813-987-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMANDA",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11020640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Ray Papp, M.D.
• Ioannis P Pappou, MD
• Katherine Lee Paret, CRNA
• Drashti Parikh
• Hiren B Parikh, MD
• Parkinsons &Neurology Clinic LLC
• Bina Bachu Patel, M.D.
• Manjari Ilesh Patel, MD
• Megha Patel, D.M.D
• Rushi Patel, BT

• Nurse Practitioner in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.