Individual provider Active NPI

Amy Rebecca Patten, ARNP

  • Nurse Practitioner
  • New Port Richey, FL
National Provider Identifier
1477002558
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9274058 Issued in FL
Practice address
Gulfside Hospice
6117 Trouble Creek Road
New Port Richey, FL 34653
Phone
(813) 995-4621
Fax
(941) 792-4048
NPI assigned
Sep 29, 2016
Last updated
Apr 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9274058 FL Primary

Addresses

Primary practice location

Gulfside Hospice
6117 Trouble Creek Road
New Port Richey, FL 34653

Mailing address

19246 Wood Sage Drive
Tampa, FL 33647
Phone (941) 704-7479

Other names 1

  • Amy Rebecca Dow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200806001320 FL Practitioner - Nurse Practitioner 8022433101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9274058FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfside Palliative Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
Gulfside Hospice, Inc. PastSince May 3, 2020 Accepting new patients

Locations

2061 Collier Pkwy
Land O Lakes, FL 34639
Phone (727) 845-5707

6630 Kentucky Ave
New Port Richey, FL 34653
Phone (727) 849-6939

6117 Trouble Creek Rd
New Prt Rchy, FL 34653
Phone (727) 845-5707

5760 Dean Dairy Rd
Zephyrhills, FL 33541
Phone (813) 377-1265

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1477002558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19246 WOOD SAGE DRIVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "941-704-7479",
            "fax_number": "941-792-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GULFSIDE HOSPICE",
            "address_2": "6117 TROUBLE CREEK ROAD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "813-995-4621",
            "fax_number": "941-792-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "AMY",
        "middle_name": "REBECCA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9274058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "DOW",
            "middle_name": "REBECCA",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.