Individual provider Active NPI

Laura Amabile, DNP, FNP, APRN

  • Nurse Practitioner
  • Saint Petersburg, FL
National Provider Identifier
1336800366
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11016372 Issued in FL
Practice address
4015 Overlook Dr NE
Saint Petersburg, FL 33703-5547
Phone
(617) 797-0916
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11016372 FL Primary

Addresses

Primary practice location

4015 Overlook Dr NE
Saint Petersburg, FL 33703-5547

Mailing address

4015 Overlook Dr NE
Saint Petersburg, FL 33703-5547
Phone (617) 797-0916

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
I20221020000923 FL Practitioner - Nurse Practitioner 3375919012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11016372FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1336800366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 OVERLOOK DR NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337035547",
            "telephone_number": "617-797-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 OVERLOOK DR NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337035547",
            "telephone_number": "617-797-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMABILE",
        "first_name": "LAURA",
        "credential": "DNP, FNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11016372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.