Individual provider Active NPI

Amanda Johnson Sapp, NP-C

  • Family Nurse Practitioner
  • Lynn Haven, FL
National Provider Identifier
1215437405
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9294976 Issued in FL
Practice address
1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone
(850) 784-7722
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9294976 FL
Family Nurse Practitioner 363LF0000X 237474 GA
Family Nurse Practitioner 363LF0000X 9294976 FL Primary

Addresses

Primary practice location

1303 Mosley Dr
Lynn Haven, FL 32444-5625

Mailing address

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

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
I20180601002313 FL Practitioner - Nurse Practitioner 7315202835 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

1303 Mosley Dr
Lynn Haven, FL 32444-5625
Phone (850) 784-7722

900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9294976FLMDRegistered Nurse
237474GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates of Florida, LLC CurrentSince Aug 12, 2024 Accepting new patients
Digestive Diseases Center of Florida, PLLC CurrentSince Jul 15, 2022 Accepting new patients
Nation'S Best Family Health Care PLLC CurrentSince Aug 31, 2019 Accepting new patients
Digestive Diseases Center of Florida, PLLC Past Accepting new patients

Locations

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

1303 Mosley Dr
Lynn Haven, FL 32444
Phone (850) 271-5996

1514 W 23rd St
Panama City, FL 32405
Phone (850) 481-1101

204 E 19th St
Panama City, FL 32405
Phone (850) 763-5409

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

Interoperability endpoints

  • Direct secure messaging: amanda.sapp.p1@direct.ddc.nextgenshare.com

Organizations & group practices 4

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.

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": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1215437405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-784-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-784-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPP",
        "first_name": "AMANDA",
        "middle_name": "JOHNSON",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9294976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "237474",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9294976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.