Individual provider Active NPI

Laurie Ann Amodeo, APRN

  • Adult Health Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1063073328
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN2729452 Issued in FL
Practice address
2100 Glenwood Dr Ste 100
Winter Park, FL 32792-3308
Phone
(407) 646-7951
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN2729452 FL Primary

Addresses

Primary practice location

2100 Glenwood Dr Ste 100
Winter Park, FL 32792-3308

Mailing address

2100 Glenwood Dr Ste 100
Winter Park, FL 32792-3308
Phone (407) 646-7951

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Laurie.Amodeo@AdventHealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN2729452FLMDAdult Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: laurie.amodeo@adventhealth.com

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1063073328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923308",
            "telephone_number": "407-646-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 GLENWOOD DR STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923308",
            "telephone_number": "407-646-7951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMODEO",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN2729452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Laurie.Amodeo@AdventHealth.com",
            "affiliation": "N",
            "address_1": "2100 Glenwood Dr Ste 100",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327923308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.