Active NPI
Amy Danielle Dobberfuhl, APRN CPNP-PC
- Pediatric Nurse Practitioner
- Ormond Beach, FL
National Provider Identifier
1407455017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN11011710
- Practice address
- 725 W Granada Blvd Ste 1
Ormond Beach, FL 32174-9406 - Phone
- (386) 673-2770
- Fax
- (386) 673-2760
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Palm Coast, FL
- NPI 1225065717
-
- Rural Health Clinic/Center
- Jasper, FL
- NPI 1033114285
-
- Rural Health Clinic/Center
- Live Oak, FL
- NPI 1558602482
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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11011710 | FL | MD | Nurse Practitioner |
| C160938 | IA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Pediatrics of Palm Coast, PA | Past | Accepting new patients | |
| North Florida Pediatrics, PA | Past | Accepting new patients | |
| North Florida Pediatrics, PA | Past | Accepting new patients |
Interoperability endpoints
- amy.dobberfuhl.p1@direct.nfpeds.nextgenshare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APRN11011710 | FL | Primary |
| Pediatric Nurse Practitioner | 363LP0200X | C160938 | IA | |
| Nurse Practitioner | 363L00000X | APRN11011710 | FL |
Addresses
NPPES NPI RegistryPrimary practice location
725 W Granada Blvd Ste 1
Ormond Beach, FL 32174-9406
Mailing address
900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (386) 673-2770
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109628600 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2026.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1407455017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S PINE ISLAND RD STE 800",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243923",
"telephone_number": "386-673-2770",
"fax_number": "386-673-2760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 W GRANADA BLVD STE 1",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321749406",
"telephone_number": "386-673-2770",
"fax_number": "386-673-2760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBERFUHL",
"first_name": "AMY",
"middle_name": "DANIELLE",
"credential": "APRN CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "APRN11011710",
"primary": true
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IA",
"license": "C160938",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN11011710",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109628600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.