Active NPI
Amy Lynn Gasper, APRN
- Family Nurse Practitioner
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARPN11001142
- Practice address
- 1921 Waldemere St Ste 705
Sarasota, FL 34239-2913 - Phone
- (941) 366-5864
- NPI assigned
- Feb 6, 2019
- Last updated
- Jan 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | APRN11001142 | FL | |
| Family Nurse Practitioner | 363LF0000X | ARPN11001142 | FL | Primary |
Addresses
Primary practice location
1921 Waldemere St Ste 705
Sarasota, FL 34239-2913
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Other practice location 1
2600 Laurel Rd E
North Venice, FL 34275-3226
Phone (941) 917-9000
Other practice location 2
1700 S Tamiami Trl
Sarasota, FL 34239-3555
Phone (941) 917-9000
Other practice location 3
200 Healthcare Way Unit 102
North Venice, FL 34275-3670
Phone (941) 366-5864
Other practice location 4
2 Tampa General Cir
Tampa, FL 33606-3571
Phone (813) 821-8038
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L5VEO | Other | FL | BCBS |
| 102354100 | Medicaid | FL |
Other names 1
- Amy Lynn Deitzer
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | agasper146043@direct.tgh.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4202 E Fowler Ave
Tampa, FL 33620-6750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARPN11001142 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Lung Associates of Sarasota LLC | Current | Accepting new patients | |
| Kirk G Voelker MD PA | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Past | Accepting new patients |
Locations
200 Healthcare Way
Unit 102
North Venice, FL 34275
Phone (941) 366-5864
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1921 Waldemere St
Ste 705
Sarasota, FL 34239
Phone (941) 366-5864
2 Tampa General Cir
Tampa, FL 33606
Phone (813) 259-0929
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Interoperability endpoints
- agasper266353@direct.tgh.org
- amygasper@las.allscriptsdirect.net
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10086560
Organizations & group practices 7
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Pulmonary Disease Physician
- Sarasota, FL
- NPI 1851356091
-
- Pulmonary Disease Physician
- Sarasota, FL
- NPI 1801831003
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tampa General Hospital
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1710442553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 WALDEMERE ST STE 705",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342392913",
"telephone_number": "941-366-5864"
}
],
"practiceLocations": [
{
"address_1": "2600 Laurel Rd E",
"address_purpose": "LOCATION",
"city": "North Venice",
"state": "FL",
"postal_code": "342753226",
"country_code": "US",
"telephone_number": "941-917-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1700 S Tamiami Trl",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342393555",
"country_code": "US",
"telephone_number": "941-917-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Healthcare Way Unit 102",
"address_purpose": "LOCATION",
"city": "North Venice",
"state": "FL",
"postal_code": "342753670",
"country_code": "US",
"telephone_number": "941-366-5864",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Tampa General Cir",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-821-8038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GASPER",
"first_name": "AMY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-06",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11001142",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARPN11001142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "L5VEO",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102354100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "agasper146043@direct.tgh.org",
"affiliation": "N",
"address_1": "2 Tampa General Cir",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336063571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMY",
"last_name": "DEITZER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.