Amanda Lynn Brock

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11022900 Issued in FL

Practice address

1511 Surgeons Dr
Tallahassee, FL 32308-4680

Phone

(850) 701-0695

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abrock22148@tallahasseememorial.direct-ci.com
• Direct secure messaging: amandabrock@telmedgrp.allscriptsdirect.net
• Direct secure messaging: amandabrock@tmhpp.allscriptsdirect.net
• FHIR API: https://fhir-usa.unify.chbase.com/org/liberty-4ff80e3e

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.

• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Medicare reassignment Care Compare group NPD
• Tallahassee Medical Group, PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972265130
  Medicare reassignment NPD
• Tallahassee Memorial Healthcare Inc

  dba TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1366293102
  NPD
• Tallahassee Memorial Healthcare Inc

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1487932422
  NPD
• Tallahassee Memorial Healthcare Inc

  • Rural Health Clinic/Center
  • Monticello, FL
  • NPI 1649229402
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
  • NPI 1437253085
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1063121689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084680",
            "telephone_number": "850-701-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11022900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amandalynn6463@yahoo.com",
            "affiliation": "N",
            "address_1": "1511 Surgeons Dr",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tia Denesia Brinson
• Earl B Britt, M. D.
• Geami Britt
• Paula K Brittain, RT CT MR
• Luke Byron Brocco, LCSW
• Katie Carroll Brock, NBH-WHC
• Mary M Brock, R.N.
• Debra Lynn Broderick
• Tim Alan Broeseker, MD
• Lynda A Brogdon, PH.D,

• Primary Care Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.

Verify at the official NPI Registry.