Individual provider Active NPI

Amanda Reneau Lovell, LPN

  • Licensed Practical Nurse
  • Cape Canaveral, FL
National Provider Identifier
1386766020
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN5161753 Issued in FL
Practice address
7008 Sevilla CT
Apt 206
Cape Canaveral, FL 32920
Phone
(321) 784-1597
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN066259 GA
Licensed Practical Nurse 164W00000X PN5161753 FL Primary

Addresses

Primary practice location

7008 Sevilla CT
Apt 206
Cape Canaveral, FL 32920

Mailing address

7008 Sevilla CT
Apt 206
Cape Canaveral, FL 32920
Phone (321) 784-1597

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

State licenses

LicenseStateTypeSpecialty
PN5161753FLMDLicensed Practical Nurse
LPN066259GAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386766020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 SEVILLA CT",
            "address_2": "APT 206",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "32920",
            "telephone_number": "321-784-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SEVILLA CT",
            "address_2": "APT 206",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "32920",
            "telephone_number": "321-784-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "AMANDA",
        "middle_name": "RENEAU",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN066259",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5161753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Canaveral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.