Amanda Farrell

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

11024546 Issued in FL

Practice address

4211 Van Dyke Rd
Lutz, FL 33558-8005

Phone

(813) 443-7000

NPI assigned

Jan 20, 2023

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1497460794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 KINGSBRIDGE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261828",
            "telephone_number": "813-842-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 VAN DYKE RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335588005",
            "telephone_number": "813-443-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11024546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care of Land O Lakes PA
• Family First Therapy Inc.
• Helen Fanta, MD
• Manuel Steven Farber, M.D.
• Sonia Farooqi, MD
• James Terence Farrell, DO
• Azeezat Fashola, NP
• Douglas Fasnacht, PHARMD
• Jeanne Federico, MS, CCC-SLP
• Wilchenda Felix

• Acute Care Nurse Practitioner in Lutz, FL
• Providers in Lutz, FL by specialty
• Acute Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.