Individual provider Active NPI

Amabel Tangunan Lubaton, ARNP

  • Family Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1093241663
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9261848 Issued in FL
Practice address
430 State Road 436 Ste 224
Casselberry, FL 32707-4965
Phone
(786) 449-5448
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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 9261848 FL Primary

Addresses

Primary practice location

430 State Road 436 Ste 224
Casselberry, FL 32707-4965

Mailing address

430 State Road 436 Ste 224
Casselberry, FL 32707-4965
Phone (786) 449-5448

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
I20180521000126 FL Practitioner - Nurse Practitioner 7012288962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Orlando, FL 32801
Phone (786) 449-5448

Hospital & facility affiliations

  • Alpha Homecare & Therapy Agency LLC Home health agency, Melbourne, FL, CCN 109386
  • American Dream Home Health Care, Corp Home health agency, Orlando, FL, CCN 687357
  • Florida Homecare Specialists Minority Corp Home health agency, Orlando, FL, CCN 687073
  • Legacy Home Health Home health agency, Maitland, FL, CCN 109458
  • Crest Home Health LLC Home health agency, Kissimmee, FL, CCN 687269
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9261848FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aa & D Lubaton, LLC Dba Gaia Holostic Primary Care Family CurrentSince Apr 26, 2020 Accepting new patients
Gaia Holistic Primary Care LLC CurrentSince May 27, 2020 Accepting new patients
Kiwi Health, LLC CurrentSince Sep 29, 2024 Accepting new patients

Locations

430 State Road 436
Ste 224
Casselberry, FL 32707
Phone (786) 449-5448

20 N Orange Ave
Ste 1100
Orlando, FL 32801
Phone (407) 565-9597

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1093241663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBATON",
        "first_name": "AMABEL",
        "middle_name": "TANGUNAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9261848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

Verify at the official NPI Registry.