Individual provider Active NPI

Amberlyn Daglian McNamara, APRN

  • Adult Health Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1134855257
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11034616 Issued in FL
Practice address
350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Phone
(850) 374-3125
Fax
(850) 226-5544
NPI assigned
Jul 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN-3723 HI
Adult Health Nurse Practitioner 363LA2200X APRN11034616 FL Primary

Addresses

Primary practice location

350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699

Mailing address

350G Racetrack Rd NW
Fort Walton Beach, FL 32547-1699
Phone (850) 374-3125

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
I20250428001414 FL Practitioner - Nurse Practitioner 0648646943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel D Critides Jr MD PAGroup PAC ID 1759742877, 4 clinicians

Practice addresses (Care Compare)

350 G Racetrack Rd NW
Homeport Neurosurgery and Spine
Fort Walton Beach, FL 32547-1699
Phone (850) 374-3125

Hospital & facility affiliations

  • HCA Florida Fort Walton-Destin Hospital Hospital, Fort Walton Beach, FL, CCN 100223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel D. Critides, Jr., M.D., P.a. CurrentSince Apr 16, 2025 Accepting new patients

Locations

350G Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 374-3125

Interoperability endpoints

  • Direct secure messaging: amberlyn.mcnamara.1@29270.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1134855257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350G RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-374-3125",
            "fax_number": "850-226-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350G RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471699",
            "telephone_number": "850-374-3125",
            "fax_number": "850-226-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "AMBERLYN",
        "middle_name": "DAGLIAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "APRN-3723",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11034616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.