Individual provider Active NPI

Amanda Hirsch, NP-C

  • Family Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1083035802
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9277110 Issued in FL
Practice address
150 Cranes Roost Blvd
Suite 1220
Altamonte Springs, FL 32701
Phone
(407) 774-3325
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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 9277110 FL Primary

Addresses

Primary practice location

150 Cranes Roost Blvd
Suite 1220
Altamonte Springs, FL 32701

Mailing address

1890 State Road 436
Ste 215
Winter Park, FL 32792-2285
Phone (407) 678-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9277110FLMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: amanda.hirsch@960630000910340.direct.elationemr.com
  • Direct secure messaging: amanda.hirsch.001.0090141@aaiacf.meditab.direct-ci.com
  • Direct secure messaging: amanda.hirsch.003.0090141@aaiacf.meditab.direct-ci.com
  • Direct secure messaging: amanda.hirsch.002.0090141@aaiacf.meditab.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1083035802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "STE 215",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-678-4040",
            "fax_number": "407-678-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CRANES ROOST BLVD",
            "address_2": "SUITE 1220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-774-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCH",
        "first_name": "AMANDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9277110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.