Amanda Lynn Graham

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN11007616 Issued in FL

Practice address

1025 Military TRL Ste 211
Jupiter, FL 33458-7040

Phone

(561) 406-3082

Fax

(561) 658-2616

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Thrive Wellness and Primary Care LLCGroup PAC ID 1951766336, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trilogy Home Healthcare Home health agency, West Palm Beach, FL, CCN 107714
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Thrive Wellness and Primary Care, LLC

  • Primary Care Clinic/Center
  • Jupiter, FL
  • NPI 1912602491
  Medicare reassignment Care Compare group NPD Authorized official
• Rebecca a Prostko MD PA

  • Specialist
  • Palm City, FL
  • NPI 1194824052
  NPD
• Wellness & Concierge Care of the Palm Beaches LLC

  • Primary Care Clinic/Center
  • Jupiter, FL
  • NPI 1093499204
  NPD

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

• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Medstar Home Health, LLC

  • Home Health Agency
  • West Palm Beach, FL
  • NPI 1538598081
  Care Compare affiliation

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1710503875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-406-3082",
            "fax_number": "561-658-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MILITARY TRL STE 211",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334587040",
            "telephone_number": "561-406-3082",
            "fax_number": "561-658-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11007616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle R Gormezano, M.D.
• Yevgeniy Gorodkin
• Frank Gorzynski, PHARM D
• Nardiane Guerdine Gousse
• Nagaraj Gowda, M.D.
• Warran Aldair Grajalez, DC
• Cameron Earl Grant
• Robert Grant, D.O.
• John Daniel Grassi, MASSAGE THERAPIST
• Ronald Edward Grassi, DC

• Primary Care Nurse Practitioner in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.

Verify at the official NPI Registry.