Lya K Amburgey, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11020798 Issued in FL

Practice address

200 E Marks St
Orlando, FL 32803-3819

Phone

(407) 760-1731

NPI assigned

Aug 19, 2022

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

Nurse Practitioner

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.

• Privia Medical Group Florida, LLC

  • General Practice Physician
  • Indialantic, FL
  • NPI 1700649043
  NPD (past)

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1245958842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033819",
            "telephone_number": "407-284-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033819",
            "telephone_number": "407-760-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURGEY",
        "first_name": "LYA",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HF",
            "identifier": "PV253",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zohreh Ambrose, CRNA
• Patricia Louise Ambrosio, D.O.
• Christopher Ambs, MD
• Ambulatory Ankle & Foot Center of Florida Inc
• Ambumed FL Corp
• Deborah Amdur, M.D.
• Chelsey Ameda
• Amee Cohen and Associates
• Amee Elder, Ma, LLC
• Emman Ameen

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.