Peak Performance Medical

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PEAK PERFORMANCE MEDICAL

Practice address

3800 W Eau Gallie Blvd Ste 101
Melbourne, FL 32934-3285

Phone

(321) 432-4122

Fax

(866) 819-1072

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Barnes, MD, DC

Title

Owner

Phone

(321) 432-4122

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1104336577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343285",
            "telephone_number": "321-432-4122",
            "fax_number": "866-819-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W EAU GALLIE BLVD STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343285",
            "telephone_number": "321-432-4122",
            "fax_number": "866-819-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK PERFORMANCE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-432-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph R. Paylor, MD
• Douglas Howard Payne, CRNA
• Presley Haynes Payne III
• Pamela D Peach, L.M.
• Stacey Peacock
• Craig Pearce
• Kathy D. Pearce, PSY.D
• Joshua Aaron Pearson, PTA
• Abby Elizabeth Pease, LCSW
• Aleksander W Pecherek, DO

• Family Nurse Practitioner in Melbourne, FL
• Providers in Melbourne, 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 11, 2017; 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.