Individual provider Active NPI

Amber Lynn Thomas, FNP-C

  • Family Nurse Practitioner
  • Lynn Haven, FL
National Provider Identifier
1760100903
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021926 Issued in FL
Practice address
1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone
(850) 571-5844
Fax
(850) 571-5845
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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 APRN11021926 FL Primary

Addresses

Primary practice location

1702 Ohio Ave
Lynn Haven, FL 32444-4290

Mailing address

1702 Ohio Ave
Lynn Haven, FL 32444-4290
Phone (850) 571-5844

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
I20231019002500 FL Practitioner - Nurse Practitioner 2668828104 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11021926FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Group of Florida, LLC CurrentSince Jun 1, 2024 Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 24, 2025 Accepting new patients
North Florida Medical Group, LLC Family CurrentSince Nov 13, 2023 Accepting new patients

Locations

1702 Ohio Ave
Lynn Haven, FL 32444
Phone (850) 571-5844

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

Organizations & group practices 3

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": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1760100903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844",
            "fax_number": "850-571-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444290",
            "telephone_number": "850-571-5844",
            "fax_number": "850-571-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.