Active NPI
Amber Duren
- Family Nurse Practitioner
- Lutz, FL
National Provider Identifier
1245611128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9363085
- Practice address
- 17511 N Dale Mabry Hwy
Lutz, FL 33548-4521 - Phone
- (813) 962-6700
- Fax
- (813) 962-7799
- NPI assigned
- Jun 16, 2015
- Last updated
- Jul 25, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9363085 | FL | Primary |
Addresses
Primary practice location
17511 N Dale Mabry Hwy
Lutz, FL 33548-4521
Mailing address
5400 Pinehurst Dr
Spring Hill, FL 34606-3833
Phone (352) 277-5305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0S0V | Other | FL | BLUE CROSS BLUE SHIELD |
| 015104700 | Medicaid | FL |
Other names 1
- Amber I Bedford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9363085 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1245611128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 PINEHURST DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346063833",
"telephone_number": "352-277-5305",
"fax_number": "352-616-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17511 N DALE MABRY HWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335484521",
"telephone_number": "813-962-6700",
"fax_number": "813-962-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUREN",
"first_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9363085",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y0S0V",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015104700",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "BEDFORD",
"middle_name": "I",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.