Amy Penaloza, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11033599 Issued in FL

Practice address

736 S Dillard St Ste 2
Winter Garden, FL 34787-3975

Phone

(407) 614-4866

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABJAED/Endpoint/ABJAED

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.

• Advanced Health House Calls

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1679141584
  Medicare reassignment NPD
• Advanced Health Urgent Care, LLC

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1821961921
  NPD

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1134964463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 ALLIGATOR ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347717538",
            "telephone_number": "352-999-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 S DILLARD ST STE 2",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873975",
            "telephone_number": "407-614-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENALOZA",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11033599",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11033599",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11033599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearl Pediatric Clinic LLC
• Pediatric Dentistry of Horizon West LLC
• Pediatric Therapy Services of Greater Orlando, LLC
• Pediatrix Medical Group of Florida Inc
• Beth Amato Pekar, MA, CCC/SLP
• Hongtao Peng
• Mitchell Pentecost
• Peopleone Health Florida, LLC
• Andrew Michael Pepper, M.D.
• Warren Jose Peralta Castro, M.D.

• Nurse Practitioner in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.