Individual provider Active NPI

Amanda Jon McNally Yatabe, APRN

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1316537756
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11011170 Issued in FL
Practice address
755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885
Phone
(407) 875-3700
NPI assigned
Jan 20, 2021
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11011170 FL
Family Nurse Practitioner 363LF0000X APRN11011170 FL Primary
Mental Health Counselor 101YM0800X APRN11011170 FL

Addresses

Primary practice location

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885

Mailing address

755 Rinehart Rd Ste 100
Lake Mary, FL 32746-4885

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324001263 FL Practitioner - Nurse Practitioner 4789079906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Medical Group IncGroup PAC ID 0749186153, 1,735 clinicians

Practice addresses (Care Compare)

2600 Westhall LN
Maitland, FL 32751-7102
Phone (407) 200-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11011170FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc Current Accepting new patients
Amedisys Hospice, L.L.C. CurrentSince Jul 29, 2024 Accepting new patients
Florida Hospital Medical Group Inc Nurse Practitioner CurrentSince Jul 14, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 14, 2025 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Nov 27, 2023 Accepting new patients
Compassionate Care Hospice of Lake and Sumter Inc CurrentSince Jul 29, 2024 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Mar 18, 2022 Accepting new patients
Community Health Centers, Inc CurrentSince Nov 27, 2023 Accepting new patients
Amedisys Hospice, L.L.C. CurrentSince Jul 29, 2024 Accepting new patients
Compassionate Care Hospice of Miami Dade and the Florida Keys, Inc. CurrentSince Jul 29, 2024 Accepting new patients
Elite Imaging LLC PastSince Jan 1, 2021 Accepting new patients
Adult Medicine of Lake County Inc PastSince Jan 1, 2021 Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

755 Rinehart Rd
Ste 100
Lake Mary, FL 32746
Phone (407) 320-8100

225 N 1st St
Leesburg, FL 34748
Phone (352) 314-7400

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

1696 W Hibiscus Blvd
Ste B
Melbourne, FL 32901
Phone (321) 549-0275

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

7900 Forest City Rd
Orlando, FL 32810
Phone 40790588271001

840 Mercy Dr
Pine Hills, FL 32808
Phone 4079058827 ext. 2997

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

304 Lagrande Blvd
The Villages, FL 32159
Phone (352) 348-7425

110 S Woodland St
Winter Garden, FL 34787

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJFAA

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1316537756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 RINEHART RD STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 RINEHART RD STE 100",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464885",
            "telephone_number": "407-875-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATABE",
        "first_name": "AMANDA",
        "middle_name": "JON MCNALLY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11011170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011170",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "APRN11011170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.