Individual provider Active NPI

Amanda Quinn

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1487421772
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11028608 Issued in FL
Practice address
6904 Windstream Ter
Orlando, FL 32818-1354
Phone
(603) 991-4079
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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 11028608 FL Primary

Addresses

Primary practice location

6904 Windstream Ter
Orlando, FL 32818-1354

Mailing address

6904 Windstream Ter
Orlando, FL 32818-1354

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
I20240304000020 FL Practitioner - Nurse Practitioner 8729423504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3030 E Semoran Blvd
Suite 264
Apopka, FL 32703-5953
Phone (321) 280-3810

4660 13TH St
Saint Cloud, FL 34769-6765
Phone (407) 200-2300

601 E Dixie Ave
401 Lake OB/GYN Associates of Mid Flori
Leesburg, FL 34748-5997
Phone (352) 787-1535

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11028608FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/Sunbelt, Inc CurrentSince Jun 2, 2025 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Feb 19, 2024 Accepting new patients
Adventist Health System Sunbelt Inc Current Accepting new patients
Adventist Health System/Sunbelt, Inc CurrentSince Jun 2, 2025 Accepting new patients
OB-GYN Associates of Mid Florida PA PastSince Feb 19, 2024 Accepting new patients

Locations

601 E Dixie Ave
Ste 401
Leesburg, FL 34748
Phone (352) 787-1535

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

1400 N US Highway 441
Ste 952
The Villages, FL 32159
Phone (352) 259-5649

Interoperability endpoints

  • Direct secure messaging: aquinn148156@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1487421772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 WINDSTREAM TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328181354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 WINDSTREAM TER",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328181354",
            "telephone_number": "603-991-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11028608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.