Individual provider Active NPI

Amanda Kay Pagels Damkjer, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1619326949
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9316502 Issued in FL
Practice address
10701 International Dr
Orlando, FL 32821-7392
Phone
(407) 355-0929
NPI assigned
Jun 7, 2016
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9316502 FL Primary

Addresses

Primary practice location

10701 International Dr
Orlando, FL 32821-7392

Mailing address

10701 International Dr
Orlando, FL 32821-7392
Phone (866) 389-2727

Other practice location 1

500 E State Road 434
Longwood, FL 32750-5222
Phone (407) 834-4849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amanda.pagelsdamkjer@centerwell.eclinicaldirectplus.com Direct

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
9316502FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cannizzaro Integrative Pediatric Center Past Accepting new patients
Centerwell Senior Primary Care (FL) Inc. PastSince Aug 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amanda.pagelsdamkjer@centerwell.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1619326949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 INTERNATIONAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217392",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 INTERNATIONAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328217392",
            "telephone_number": "407-355-0929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 E State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327505222",
            "country_code": "US",
            "telephone_number": "407-834-4849",
            "fax_number": "407-834-4905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGELS DAMKJER",
        "first_name": "AMANDA",
        "middle_name": "KAY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-03-10",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9316502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amanda.pagelsdamkjer@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 E State Road 434",
            "city": "Longwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327505222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.