Amy Jane Maxwell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP2678412 Issued in FL

Practice address

2605 W Swann Ave
Suite 100
Tampa, FL 33609-4039

Phone

(813) 874-5500

Fax

(813) 874-5505

NPI assigned

Oct 1, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1063815280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18344",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336798344",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 W SWANN AVE",
            "address_2": "SUITE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094039",
            "telephone_number": "813-874-5500",
            "fax_number": "813-874-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2678412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014383200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Dole Maxfield, PHD
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.
• Nimmi Maxmillian
• John Perry Maxson, PA-C
• Christian Travis Wade Maxwell, MD
• Elisa O Maxwell, MD
• Seth L Maxwell, DO
• Kimberley Elaine May Wibbe, L.M.H.C.
• Jessica Victoria May-Rabbach, M.D.

• Family Nurse Practitioner in Tampa, FL
• Providers in Tampa, 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 Oct 6, 2015; 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.