Individual provider Active NPI

Amanda Lynn Hartley, APRN

  • Family Nurse Practitioner
  • Apopka, FL
National Provider Identifier
1184058182
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN461230 Issued in FL
Practice address
515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone
(407) 464-9516
Fax
(407) 464-9519
NPI assigned
Aug 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008143 KY
Family Nurse Practitioner 363LF0000X APRN461230 FL Primary

Addresses

Primary practice location

515 Wekiva Commons Cir
Apopka, FL 32712-3645

Mailing address

515 Wekiva Commons Cir
Apopka, FL 32712-3645
Phone (407) 464-9516

Other practice location 1

200 E Chestnut St
Suite 303, Service Building
Louisville, KY 40202-1831
Phone (502) 629-5552

Other names 1

  • Amanda Lynn Riordan Former name

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
I20180625001744 FL Practitioner - Nurse Practitioner 9234354317 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN461230FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Pensacola LLC Nurse Practitioner Current Accepting new patients
Central Florida Inpatient Medicine LLC CurrentSince Nov 21, 2017 Accepting new patients
Central Florida Hospitalist Partners PA CurrentSince May 7, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Jul 1, 2021 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

515 Wekiva Commons Cir
Apopka, FL 32712
Phone (407) 464-9516

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

Organizations & group practices 6

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1184058182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WEKIVA COMMONS CIR",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327123645",
            "telephone_number": "407-464-9516",
            "fax_number": "407-464-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Chestnut St",
            "address_2": "Suite 303, Service Building",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021831",
            "country_code": "US",
            "telephone_number": "502-629-5552",
            "fax_number": "502-629-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008143",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN461230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RIORDAN",
            "middle_name": "LYNN",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apopka, FL

Sources for this page

Verify at the official NPI Registry.