Individual provider Active NPI

Amanda Danielle Manresa, ARNP

  • Nurse Practitioner
  • Hallandale Beach, FL
National Provider Identifier
1558808048
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9326679 Issued in FL
Practice address
600 Silks Run
Unit 1265
Hallandale Beach, FL 33009-2569
Phone
(305) 760-1431
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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 ARNP9326679 FL Primary

Addresses

Primary practice location

600 Silks Run
Unit 1265
Hallandale Beach, FL 33009-2569

Mailing address

2674 SW 181St Ter
Miramar, FL 33029-5195
Phone (786) 355-1268

Other names 1

  • Amanda Danielle Penas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9326679FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1558808048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 SW 181ST TER",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295195",
            "telephone_number": "786-355-1268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SILKS RUN",
            "address_2": "UNIT 1265",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092569",
            "telephone_number": "305-760-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRESA",
        "first_name": "AMANDA",
        "middle_name": "DANIELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9326679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "PENAS",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.