Amber Lynn Ott, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11034581 Issued in FL

Practice address

731 Duval Station Rd Ste 107-346
Jacksonville, FL 32218-0800

Phone

(904) 383-1000

Fax

(904) 751-6583

NPI assigned

Sep 11, 2024

Last updated

Sep 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Black Bag Medical Inc

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1750440988
  Medicare reassignment NPD
• Kindred Hospitals East, LLC

  dba Kindred Hospital - North Florida

  • Long Term Care Hospital
  • Green Cove Springs, FL
  • NPI 1134204720
  NPD

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1760218150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUVAL STATION RD STE 107-346",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180800",
            "telephone_number": "719-271-8767",
            "fax_number": "904-751-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DUVAL STATION RD STE 107-346",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322180800",
            "telephone_number": "904-383-1000",
            "fax_number": "904-751-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11034581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Acosta Oteyza, M.D.
• Eman Othman, BDS, MS, CAGS
• Justin A Otis, DNP, APRN-CRNA
• Anna Marie Otoole
• Gabrielle Otremba
• Megan Marie Ott
• Ottawahills Optical Inc
• Ian Seth Otto
• Jessica Beth Otto, CCC-SLP
• Nolan Robert Otto, MD

• Family Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.