Amanda Webb Bevilacqua, CNM/APRN

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

APRN11008820 Issued in FL

Practice address

724 NW 43Rd St
Gainesville, FL 32607-6110

Phone

(352) 332-7222

NPI assigned

Feb 19, 2015

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Ms. Amanda Lynn Webb Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • Gloucester, MA
  • NPI 1235147760
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1184016735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110",
            "telephone_number": "352-332-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110",
            "telephone_number": "352-332-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Herrick St",
            "address_2": "Suite 2004",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019152757",
            "country_code": "US",
            "telephone_number": "978-927-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEVILACQUA",
        "first_name": "AMANDA",
        "middle_name": "WEBB",
        "name_prefix": "Ms.",
        "credential": "CNM/APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "APRN11008820",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MA",
            "license": "RN2297407",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11008820",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11008820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "WEBB",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Douglas Robert Bettarelli, MD
• Dalice J Betterson-Smith
• Lana Betts
• Megan L Beveridge, LCSW
• Steven Edmond Beverly, LMSW
• Jennifer D Bevis, D.C.
• Joey Lee Beyer, M.D.
• William Aubrey Beyers, D.D.S.
• Rebecca Jennifer Beyth, MD
• Blaise J Bezaire

• Obstetrics & Gynecology Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.