Amanda Lee Christlieb, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11005619 Issued in FL

Practice address

325 Clyde Morris Blvd Ste 340
Ormond Beach, FL 32174-3199

Phone

(386) 615-8971

NPI assigned

Jan 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians

Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Kashyap Patel MD PAGroup PAC ID 9830152974, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Accentcare Home Health of Daytona Home health agency, Ormond Beach, FL, CCN 108284
• AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
• Adventhealth Daytona Beach Hospital, Daytona Beach, FL, CCN 100068
• Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amanda.christlieb@kpmp-fl.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Kashyap Patel MD PA

  • Family Medicine Physician
  • Ormond Beach, FL
  • NPI 1114037462
  Medicare reassignment Care Compare group NPD
• Volusia & Flagler OB-GYN PA

  • Specialist
  • Ormond Beach, FL
  • NPI 1932371598
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Palm Coast Parkway Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1861102345
  Care Compare affiliation
• Halifax Health Services, LLC.

  • Home Health Agency
  • Ormond Beach, FL
  • NPI 1013081215
  Care Compare affiliation
• Memorial Health Systems Inc

  • General Acute Care Hospital
  • Daytona Beach, FL
  • NPI 1063426823
  Care Compare affiliation
• Memorial Health Systems Inc

  • Clinical Medical Laboratory
  • Daytona Beach, FL
  • NPI 1104696178

  Hospital

  Care Compare affiliation
• Memorial Hospital Flagler Inc

  • General Acute Care Hospital
  • Palm Coast, FL
  • NPI 1679678486
  Care Compare affiliation

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

{
    "created_epoch": "1578700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1336789957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD",
            "address_2": "STE 340",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CLYDE MORRIS BLVD STE 340",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743199",
            "telephone_number": "386-615-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTLIEB",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-11",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11005619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children'S Medical Center of Ormond Beach
• Julie Renee Childs, PHD,CADC,CGAC CAP
• Chiroflo, Inc
• Lori Christiansen
• Christine Herman Acsw LCSW LLC
• Dewey A Christmas Jr., MD
• John England Christopher III, DC
• Maria Cilenti
• Perrin C Clark, M.D.
• Samuel Damain Pepeto Clarke, MD

• Family Nurse Practitioner in Ormond Beach, FL
• Providers in Ormond Beach, 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 Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.