Individual provider Active NPI

Amanda L Atchoo, DNP, CNM, APRN

  • Advanced Practice Midwife
  • Jacksonville, FL
National Provider Identifier
1649759424
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN9479682 Issued in FL
Practice address
6885 Belfort Oaks PL Ste 300
Jacksonville, FL 32216-6284
Phone
(904) 296-4200
Fax
(855) 618-2132
NPI assigned
Aug 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9479682 FL
Advanced Practice Midwife 367A00000X APRN9479682 FL Primary

Addresses

Primary practice location

6885 Belfort Oaks PL Ste 300
Jacksonville, FL 32216-6284

Mailing address

PO Box 748817
Atlanta, GA 30374-8817
Phone (813) 286-0033

Other practice location 1

6410 Beach Blvd
Jacksonville, FL 32216
Phone (904) 493-6963

Other practice location 2

13241 Bartram Park Blvd Unit 1509
Jacksonville, FL 32258-5231
Phone (904) 680-0055

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024000630 FL Practitioner - Certified Nurse Midwife (CNM) 5597018358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care Florida LLCGroup PAC ID 9234031444, 324 clinicians

Practice addresses (Care Compare)

6885 Belfort Oaks PL
Suite 300
Jacksonville, FL 32216-6284
Phone (904) 296-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP9479682FLMDNurse Practitioner
APRN9479682FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Care Florida LLC Nurse Practitioner CurrentSince Mar 1, 2019 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jun 13, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Jun 13, 2022 Accepting new patients
Womens' Health Hospitalists, LLC CurrentSince Mar 1, 2019 Accepting new patients

Locations

13241 Bartram Park Blvd
Unit 1509
Jacksonville, FL 32258
Phone (904) 680-0055

6885 Belfort Oaks Pl
Ste 300
Jacksonville, FL 32216
Phone (904) 296-4200

2525 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-0704

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6410 Beach Blvd
Jacksonville, FL 32216
Phone (904) 493-6963

5002 W Lemon St
Tampa, FL 33609

2818 W Virginia Ave
Tampa, FL 33607
Phone (813) 872-8551

4030 W Boy Scout Blvd
Ste 800
Tampa, FL 33607
Phone (813) 286-0333

Interoperability endpoints

  • Direct secure messaging: amanda.atchoo@wcfnf.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1534032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1649759424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748817",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748817",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PL STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166284",
            "telephone_number": "904-296-4200",
            "fax_number": "855-618-2132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "904-493-6963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13241 Bartram Park Blvd Unit 1509",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585231",
            "country_code": "US",
            "telephone_number": "904-680-0055",
            "fax_number": "904-524-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATCHOO",
        "first_name": "AMANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9479682",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN9479682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.