Organization Active NPI

Sebring NP Services

  • Primary Care Clinic/Center
  • Sebring, FL
National Provider Identifier
1548735012
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SEBRING NP SERVICES
Practice address
4141 US Highway 27 N Ste 5
Sebring, FL 33870-1337
Phone
(863) 202-6353
Fax
(863) 451-0005
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Amy N De la Fuente, NPNPI 1811364300
Title
Owner
Phone
(863) 202-6353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4141 US Highway 27 N Ste 5
Sebring, FL 33870-1337

Mailing address

4141 US Highway 27 N Ste 5
Sebring, FL 33870-1337
Phone (863) 202-6353

Other identifiers 1

IdentifierTypeStateIssuer
109662200MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://athenanet.athenahealth.com/ Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201021001231 FL Part B Supplier - Clinic/Group Practice 0749600369 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

931 Mall Ring Rd
Sebring, FL 33870
Phone (863) 304-8038

4141 US 27 N
Ste 5
Sebring, FL 33870
Phone (863) 202-6353

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18769/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1548735012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 US HIGHWAY 27 N STE 5",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701337",
            "telephone_number": "863-202-6353",
            "fax_number": "863-451-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 US HIGHWAY 27 N STE 5",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701337",
            "telephone_number": "863-202-6353",
            "fax_number": "863-451-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING NP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-202-6353",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109662200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://athenanet.athenahealth.com/",
            "affiliation": "N",
            "endpointDescription": "Athena",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4141 US Highway 27 N Ste 5",
            "city": "Sebring",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338701337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.