Active NPI
Amy Wrenn, APRN
- General Practice Physician
- Altamonte Springs, FL
National Provider Identifier
1376140772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 11009511
- Practice address
- 155 Cranes Roost Blvd Ste 2020-a
Altamonte Springs, FL 32701-3468 - Phone
- (407) 910-1028
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11009511 | FL | Primary |
Addresses
Primary practice location
155 Cranes Roost Blvd Ste 2020-a
Altamonte Springs, FL 32701-3468
Mailing address
8622 Aspen Ave
Orlando, FL 32817-1312
Phone (407) 432-2619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11009511 | FL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1376140772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8622 ASPEN AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328171312",
"telephone_number": "407-432-2619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CRANES ROOST BLVD STE 2020-A",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327013468",
"telephone_number": "407-910-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRENN",
"first_name": "AMY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "11009511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.