Active NPI
Amanda Lefleur, APRN
- Nurse Practitioner
- Winter Haven, FL
National Provider Identifier
1154076792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11017607
- Practice address
- 400 Avenue K SE Ste 5
Winter Haven, FL 33880-4123 - Phone
- (863) 269-0210
- NPI assigned
- Feb 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11017607 | FL | Primary |
Addresses
Primary practice location
400 Avenue K SE Ste 5
Winter Haven, FL 33880-4123
Mailing address
6948 Lake Eaglebrooke Dr
Lakeland, FL 33813-5633
Phone (863) 513-8136
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11017607 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644624000000",
"number": "1154076792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6948 LAKE EAGLEBROOKE DR",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338135633",
"telephone_number": "863-513-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AVENUE K SE STE 5",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338804123",
"telephone_number": "863-269-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFLEUR",
"first_name": "AMANDA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-12",
"last_updated": "2022-02-12",
"certification_date": "2022-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "11017607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.