Amanda Diane Peck, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME89635 Issued in FL

Practice address

3573 SW Corporate Pkwy
Palm City, FL 34990-8153

Phone

(772) 283-5431

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• All About Kids Pediatrics, Inc

  • Primary Care Clinic/Center
  • Palm City, FL
  • NPI 1518147347
  NPD (past)
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • Urgent Care Clinic/Center
  • Stuart, FL
  • NPI 1154962918
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1215956750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 SW BALD EAGLE DR",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908862",
            "telephone_number": "772-283-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3573 SW CORPORATE PKWY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908153",
            "telephone_number": "772-283-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377282901",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheerin Patel, M.D.
• Victoria Lorena Patterson, RN
• Paulin Physiotherapy
• Yolonda Pawielski, LMHC
• PBC Firefighters Employee Benefits Fund
• Pediatric Specialty Group, Inc (Pediatric Specialists of America At Palm City)
• Pediatric Therapy Links, LLC
• Peerpals
• Jonathan Peirce
• Linda A Peirce, BCBA

• Pediatrics Physician in Palm City, FL
• Providers in Palm City, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.