Individual provider Active NPI

Amber Ishmael, FNP-C

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1205350915
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028032 Issued in FL
Practice address
2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301
Phone
(727) 203-4613
NPI assigned
Aug 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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 APRN11028032 FL Primary

Addresses

Primary practice location

2801 Fruitville Rd Ste 140
Sarasota, FL 34237-5301

Mailing address

35 United Dr Ste 102
West Bridgewater, MA 02379-1056

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
I20231017003291 FL Practitioner - Nurse Practitioner 8123394624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliable MD, LLCGroup PAC ID 3072936533, 4 clinicians

Practice addresses (Care Compare)

2801 Fruitville Rd
Suite 140
Sarasota, FL 34237-5301
Phone (727) 203-4613

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11028032FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliable MD LLC CurrentSince Sep 1, 2023 Accepting new patients
Deborah Goldsmith DC PA PastSince Sep 1, 2023 Accepting new patients

Locations

5045 Fruitville Rd
Unit 123B
Sarasota, FL 34232
Phone (727) 203-4613

2801 Fruitville Rd
Ste 140
Sarasota, FL 34237
Phone (727) 203-4613

35 United Dr
Ste 102
West Bridgewater, MA 02379

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1205350915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 UNITED DR STE 102",
            "city": "WEST BRIDGEWATER",
            "state": "MA",
            "postal_code": "023791056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 FRUITVILLE RD STE 140",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342375301",
            "telephone_number": "727-203-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHMAEL",
        "first_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.