Active NPI
Amanda Brunetto, FNP
- Family Nurse Practitioner
- Valdosta, GA
National Provider Identifier
1447715529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN266507
- Practice address
- 2418 N Oak St Ste J
Valdosta, GA 31602-2575 - Phone
- (229) 588-4688
- Fax
- (229) 588-4468
- NPI assigned
- Feb 4, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN266507 | GA | Primary |
Addresses
Primary practice location
2418 N Oak St Ste J
Valdosta, GA 31602-2575
Mailing address
2418 N Oak St Ste J
Valdosta, GA 31602-2575
Phone (229) 588-4688
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1447715529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 N OAK ST STE J",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022575",
"telephone_number": "229-588-4688",
"fax_number": "229-588-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 N OAK ST STE J",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316022575",
"telephone_number": "229-588-4688",
"fax_number": "229-588-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNETTO",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-04",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN266507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.