Individual provider Active NPI

Amber Lynn Dilauro, FNP-C

  • Family Nurse Practitioner
  • Melbourne, FL
National Provider Identifier
1174199657
Registry record updated Feb 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9698 Issued in CT
Practice address
206 E New Haven Ave
Melbourne, FL 32901-4504
Phone
(860) 597-1650
Fax
(321) 821-4955
NPI assigned
Jun 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9698 CT Primary

Addresses

Primary practice location

206 E New Haven Ave
Melbourne, FL 32901-4504

Mailing address

1451 Ruffin Cir SE
Palm Bay, FL 32909-6546
Phone (860) 597-1650

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
I20221129003406 FL Practitioner - Nurse Practitioner 3870961584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restore Health Management LLC 5 clinicians

Practice addresses (Care Compare)

1840 Eldron Blvd
Suite 1
Palm Bay, FL 32909-6871
Phone (772) 226-6868

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9698CTMDFamily Nurse Practitioner

Practice roles (3 of 4)

OrganizationSpecialtyStatusNew patients
Medfast Urgent Care Centers LLC CurrentSince Nov 22, 2022 Accepting new patients
Medfast Urgent Care Centers, LLC CurrentSince Nov 22, 2022 Accepting new patients
Restore Health Management LLC CurrentSince Jul 18, 2024 Accepting new patients

Locations

206 E New Haven Ave
Melbourne, FL 32901
Phone (321) 802-3311

1840 Eldron Blvd SE
Ste 1
Palm Bay, FL 32909
Phone (321) 312-4580

5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677283200000",
    "number": "1174199657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 RUFFIN CIR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329096546",
            "telephone_number": "860-597-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E NEW HAVEN AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014504",
            "telephone_number": "860-597-1650",
            "fax_number": "321-821-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILAURO",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2023-02-25",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.