Individual provider Active NPI

Amy Christine Freshwater I, ARNP

  • Acute Care Nurse Practitioner
  • Fort Walton Beach, FL
National Provider Identifier
1487817367
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP3316432 Issued in FL
Practice address
417 Racetrack Road
Fort Walton Beach, FL 32547
Phone
(850) 428-5229
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3316432 FL Primary

Addresses

Primary practice location

417 Racetrack Road
Fort Walton Beach, FL 32547

Mailing address

49 Hillcrest Dr
Shalimar, FL 32579-1041
Phone (850) 428-5229

Other names 1

  • Ms. Amy Christine Lippincott 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
I20080918000694 FL Practitioner - Nurse Practitioner 3476620329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atwood and Clark Associates, LLCGroup PAC ID 1557683521, 5 clinicians

Practice addresses (Care Compare)

201 Forest Park Cir
Panama City, FL 32405-4916
Phone (850) 248-7779

Hospital & facility affiliations

  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atwood and Clark Associates, LLC CurrentSince Mar 18, 2022 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Sep 1, 2022 Accepting new patients
Dispatchhealth-Florida Inc. PastSince Aug 1, 2021 Accepting new patients

Locations

1440 N Nova Rd
Ste 305
Daytona Beach, FL 32117
Phone (386) 258-8680

7925 NW 12th St
Ste 129
Doral, FL 33126
Phone (786) 644-6413

8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434

3200 SW 34th Ave
Ste 702
Ocala, FL 34474

201 Forest Park Cir
Panama City, FL 32405
Phone (850) 248-7777

5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015

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.

Hospital & facility affiliations 1

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1487817367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HILLCREST DR",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791041",
            "telephone_number": "850-428-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 RACETRACK ROAD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "32547",
            "telephone_number": "850-428-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRESHWATER",
        "first_name": "AMY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3316432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LIPPINCOTT",
            "middle_name": "CHRISTINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.