Active NPI
Amani Bristol
- Developmentally Disabled Services Day Training Agency
- Port Richey, FL
National Provider Identifier
1316663883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 9128 Park Richey Blvd
Port Richey, FL 34668-8139 - Phone
- (727) 247-6738
- NPI assigned
- Oct 17, 2022
- Last updated
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
9128 Park Richey Blvd
Port Richey, FL 34668-8139
Mailing address
9128 Park Richey Blvd
Port Richey, FL 34668-8139
Phone (727) 247-6738
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1316663883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9128 PARK RICHEY BLVD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346688139",
"telephone_number": "727-247-6738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9128 PARK RICHEY BLVD",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346688139",
"telephone_number": "727-247-6738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTOL",
"first_name": "AMANI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.