Individual provider Active NPI

Amanda Lahman, FNP

  • Family Nurse Practitioner
  • Starke, FL
National Provider Identifier
1073375408
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11027261 Issued in FL
Practice address
14044 SE 48TH Ave
Starke, FL 32091-6849
Phone
(904) 263-5422
NPI assigned
Jan 30, 2024
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11027261 FL Primary

Addresses

Primary practice location

14044 SE 48TH Ave
Starke, FL 32091-6849

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866
Phone (205) 545-5088

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240213004694 FL Practitioner - Nurse Practitioner 5991149312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Carenow Urgent Care LLCGroup PAC ID 6800158544, 44 clinicians

Practice addresses (Care Compare)

1811 Blanding Blvd
Suite 101
Middleburg, FL 32068-4935
Phone (904) 406-0514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical PA Current Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 4, 2024 Accepting new patients
Avecina Medical, PA CurrentSince Apr 21, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 9, 2024 Accepting new patients
Rural Urgent Care LLC Current Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 9, 2024 Accepting new patients
Avecina Medical, PA CurrentSince Apr 21, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

1811 Blanding Blvd
Ste 101
Middleburg, FL 32068
Phone (904) 203-2852

1730 Pat Thomas Pkwy
Quincy, FL 32351
Phone (850) 662-0041

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

14044 SE 48th Ave
Starke, FL 32091
Phone (904) 263-5422

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1073375408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866",
            "telephone_number": "205-545-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14044 SE 48TH AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320916849",
            "telephone_number": "904-263-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHMAN",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11027261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.