Individual provider Active NPI

Amanda Copeland, A.R.N.P.

  • Family Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1669912606
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9325933 Issued in FL
Practice address
407 Wekiva Springs Rd Ste 123
Longwood, FL 32779-6157
Phone
(407) 790-7998
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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 9325933 FL Primary

Addresses

Primary practice location

407 Wekiva Springs Rd Ste 123
Longwood, FL 32779-6157

Mailing address

407 Wekiva Springs Rd Ste 123
Longwood, FL 32779-6157
Phone (407) 790-7998

Other practice location 1

5305 Greenwood Ave
Suite 101
West Palm Beach, FL 33407-2451
Phone (561) 433-3544

Other practice location 2

7240 7th Pl N
West Palm Beach, FL 33411-3801
Phone (561) 969-6663

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002110 FL Practitioner - Nurse Practitioner 7517290729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach County Fire Fighters Health Clinic LLCGroup PAC ID 0143651679, 12 clinicians

Practice addresses (Care Compare)

7240 7TH PL N
West Palm Beach, FL 33411-3801
Phone 5619696663268

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9325933FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carrasquero Pediatrics and Associates Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1669912606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD STE 123",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796157",
            "telephone_number": "407-790-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD STE 123",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796157",
            "telephone_number": "407-790-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5305 Greenwood Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072451",
            "country_code": "US",
            "telephone_number": "561-433-3544",
            "fax_number": "561-357-9622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7240 7th Pl N",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334113801",
            "country_code": "US",
            "telephone_number": "561-969-6663",
            "fax_number": "561-721-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "AMANDA",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9325933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.