Individual provider Active NPI

Amanda Allen, D.P.M

  • Podiatrist
  • Oakland Park, FL
National Provider Identifier
1104367697
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3902 Issued in FL
Practice address
5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone
(954) 958-4800
Fax
(954) 958-4899
NPI assigned
Mar 16, 2017
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3902 FL Primary

Addresses

Primary practice location

5597 N Dixie Hwy
Oakland Park, FL 33334-3406

Mailing address

5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone (954) 958-4800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180105000372 FL Practitioner - Podiatry 4880953413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Cross Hospital IncGroup PAC ID 1850298365, 299 clinicians

Practice addresses (Care Compare)

1000 NE 56TH St
Holy Cross Medical Group
Oakland Park, FL 33334-4149
Phone (954) 489-4576

1000 NE 56TH St FL
2 Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 958-0626

1000 NE 56TH St Womens Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33334-4149
Phone (954) 229-8660

1309 S Federal Hwy
Holy Cross Medical Group
Fort Lauderdale, FL 33316-2040
Phone (954) 463-4383

4725 N Fed Hwy
Ft. Lauderdale, FL 33308-4603
Phone (954) 771-8000

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603
Phone (954) 542-6000

4725 N Federal Hwy 201
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 565-5807

4725 N Federal Hwy 302
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 351-5931

4725 N Federal Hwy 401
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 772-2136

4725 N Federal Hwy 501
Holy Cross Medical Group
Fort Lauderdale, FL 33308-4603
Phone (954) 351-7770

4725 N Federal Hwy 504
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 414-9750

4725 N Federal Hwy Cancer Ctr
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-7700

4725 N Federal Hwy HCMG Multispecialty
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 267-6770

4725 N Federal Hwy Neuro Radiology
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5780

4725 N Federal Hwy Nuclear Medicine
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5748

4725 N Federal Hwy Pathology Departmen
Holy Cross Medical Group
Ft Lauderdale, FL 33308-4603
Phone (954) 492-5728

5597 N Dixie Hwy
Holy Cross Medical Group
Oakland Park, FL 33334-3406
Phone (954) 776-6503

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue97
Removal of skin lesions11
Removal of nail tissue34
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3902FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Cross Hospital, Inc CurrentSince Mar 20, 2025 Accepting new patients
Holy Cross Hospital Inc CurrentSince Mar 20, 2025 Accepting new patients
Davie Urgent Care LLC Past Accepting new patients

Locations

1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383

5597 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 267-6390

Interoperability endpoints

  • Direct secure messaging: aallen171570@mhsdirect.net
  • Direct secure messaging: aallen4079435@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1104367697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5597 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343406",
            "telephone_number": "954-958-4800",
            "fax_number": "954-958-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5597 N DIXIE HWY",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343406",
            "telephone_number": "954-958-4800",
            "fax_number": "954-958-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "AMANDA",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

Verify at the official NPI Registry.