Individual provider Active NPI

Amaury Li

  • Other Technician
  • Davenport, FL
National Provider Identifier
1104439579
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
231121 Issued in FL
Practice address
265 Highgate Park Blvd
Davenport, FL 33897-7732
Phone
(305) 842-6182
NPI assigned
Aug 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 231121 FL Primary

Addresses

Primary practice location

265 Highgate Park Blvd
Davenport, FL 33897-7732

Mailing address

265 Highgate Park Blvd
Davenport, FL 33897-7732
Phone (305) 842-6182

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WellRyde.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
231121FLMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Godgrace Health Transport, LLC. CurrentSince Sep 6, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1104439579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 HIGHGATE PARK BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338977732",
            "telephone_number": "305-842-6182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 HIGHGATE PARK BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338977732",
            "telephone_number": "305-842-6182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "AMAURY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "FL",
            "license": "231121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WellRyde.com",
            "affiliation": "N",
            "endpointDescription": "I receive trips from Logisticare and it has the patient's health insurance name but nothing else.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "I receive trips from Logisticare and it has the patient's health insurance name but nothing else.",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "I receive trips from Logisticare and it has the patient's health insurance name but nothing else.",
            "address_1": "265 Highgate Park Blvd",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338977732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.