Individual provider Active NPI

Amanda Parveena Nath, FNP

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1306528070
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11018759 Issued in FL
Practice address
322 N John Young Pkwy
Kissimmee, FL 34741-4902
Phone
(407) 944-9355
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11018759 FL Primary

Addresses

Primary practice location

322 N John Young Pkwy
Kissimmee, FL 34741-4902

Mailing address

322 N John Young Pkwy FL 34741
Kissimmee, FL 34741-4902
Phone (407) 808-8255

Other practice location 1

2470 E Highway 50 Ste C
Clermont, FL 34711-6016
Phone (407) 944-9355

Other practice location 2

339 Cypress Pkwy Ste 260
Kissimmee, FL 34759-3330
Phone (407) 944-9355

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

LicenseStateTypeSpecialty
APRN11018759FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1306528070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 N JOHN YOUNG PKWY FL 34741",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414902",
            "telephone_number": "407-808-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 N JOHN YOUNG PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414902",
            "telephone_number": "407-944-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2470 E Highway 50 Ste C",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116016",
            "country_code": "US",
            "telephone_number": "407-944-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "339 Cypress Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593330",
            "country_code": "US",
            "telephone_number": "407-944-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NATH",
        "first_name": "AMANDA",
        "middle_name": "PARVEENA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.