Individual provider Active NPI

Amanda Marie Hasty, DPM

  • Podiatrist
  • Port Richey, FL
National Provider Identifier
1245933209
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4765 Issued in FL
Practice address
6709 Ridge Rd Ste 204
Port Richey, FL 34668-6834
Phone
(727) 717-1392
Fax
(407) 671-4155
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO4765 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4765 FL

Addresses

Primary practice location

6709 Ridge Rd Ste 204
Port Richey, FL 34668-6834

Mailing address

15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321

Other practice location 1

7116 Sagheer St
Brooksville, FL 34613
Phone (352) 549-9408

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260609000750 FL Practitioner - Podiatry 4486014248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15815 Shaddock Dr
Suite 130
Winter Garden, FL 34787-5772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4765FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
All Podiatry Group Inc Podiatrist Past Accepting new patients

Organizations & group practices 1

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": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1245933209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 SHADDOCK DR STE 130",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347875773",
            "telephone_number": "407-605-2321",
            "fax_number": "407-671-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6709 RIDGE RD STE 204",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686834",
            "telephone_number": "727-717-1392",
            "fax_number": "407-671-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7116 Sagheer St",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "34613",
            "country_code": "US",
            "telephone_number": "352-549-9408",
            "fax_number": "407-671-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASTY",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4765",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4765",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.