Active NPI
Amy Lynne Dugan, N.P.
- Adult Health Nurse Practitioner
- Melbourne, FL
National Provider Identifier
1679699185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 11000522
- Practice address
- 7000 Spyglass CT Ste 310
Melbourne, FL 32940 - Phone
- (321) 735-6218
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 11000522 | FL | Primary |
Addresses
Primary practice location
7000 Spyglass CT Ste 310
Melbourne, FL 32940
Mailing address
6005 US Highway 1 Unit 106
Rockledge, FL 32955-5702
Phone (419) 473-3561
Other practice location 1
4235 Secor Rd
Toledo, OH 43623
Phone (419) 479-5777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2356534 | Medicaid | FL | |
| H224860 | Other | FL | MEDICARE UPIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11000522 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1679699185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 US HIGHWAY 1 UNIT 106",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329555702",
"telephone_number": "419-473-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 SPYGLASS CT STE 310",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32940",
"telephone_number": "321-735-6218"
}
],
"practiceLocations": [
{
"address_1": "4235 Secor Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "43623",
"country_code": "US",
"telephone_number": "419-479-5777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUGAN",
"first_name": "AMY",
"middle_name": "LYNNE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "11000522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2356534",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "H224860",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.