Amanda Leigh Van Liessum, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9265531 Issued in FL

Practice address

440 N State Road 7
Suite 107
Royal Palm Beach, FL 33411-3504

Phone

(561) 795-8655

Fax

(561) 795-8449

NPI assigned

Nov 12, 2010

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 NC

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

University of Florida College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Physiatry Consultants of NC PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1437736881

  NC

  Medicare reassignment Care Compare group
• Comprehensive Pain Care of S FL

  • Non-Pharmacy Dispensing Site
  • Wellington, FL
  • NPI 1790739837
  NPD (past)
• Lower Keys Inpatient Services, LLC

  • Hospitalist Physician
  • Key West, FL
  • NPI 1225352248
  NPD (past)

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1346541927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7",
            "address_2": "SUITE 107",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N STATE ROAD 7",
            "address_2": "SUITE 107",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334113504",
            "telephone_number": "561-795-8655",
            "fax_number": "561-795-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN LIESSUM",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9265531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaris Ivette Valldeperas, APRN, AGPCNP-BC
• Jennifer Lynn Valle, OTR, CHT
• Cynthia Lee Valverde, OTR
• Lisa Alicia Valvo, ARNP
• Nicole M Van Leeuwen, PTA
• Victoria Van Wyhe
• Lakshmi Varadarajalu, M.D.
• David Yunior Velasco Pena, APRN
• Alejandro M Velasco, MT
• Andrea Velasquez

• Nurse Practitioner in Royal Palm Beach, FL
• Providers in Royal Palm Beach, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2012; 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.