Individual provider Active NPI

Amanda Grunden Garcia, APRN

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1790034908
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11025356 Issued in FL
Practice address
901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118
Phone
(813) 699-3995
Fax
(813) 315-1625
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11025356 FL
Family Nurse Practitioner 363LF0000X 758148 TX
Family Nurse Practitioner 363LF0000X AP122055 TX
Family Nurse Practitioner 363LF0000X APRN11025356 FL Primary

Addresses

Primary practice location

901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (813) 699-3995

Other practice location 1

3301 W Gandy Blvd
Tampa, FL 33611-2931
Phone (813) 925-1903

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
I20231229001191 FL Practitioner - Nurse Practitioner 4981852779 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP122055TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jan 1, 2024 Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Synergic Healthcare Solutions LLC Current Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC CurrentSince Dec 3, 2023 Accepting new patients
Synergic Healthcare Solutions LLC CurrentSince Jan 1, 2024 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson PastSince Nov 5, 2023 Accepting new patients

Locations

901 E Bloomingdale Ave
Ste 501
Brandon, FL 33511
Phone (813) 699-3995

900 S Pine Island Rd
Ste 800
Plantation, FL 33324
Phone (954) 967-6400

3301 W Gandy Blvd
Tampa, FL 33611
Phone (318) 925-1903

5504 Gateway Blvd
Wesley Chapel, FL 33544
Phone (813) 948-5400

16521 US 301 S
Wimauma, FL 33598
Phone (813) 844-4700

200 N Bryant Ave
Ste 10
Edmond, OK 73034

Interoperability endpoints

  • Direct secure messaging: agarcia282255@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1790034908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "813-699-3995",
            "fax_number": "813-315-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BLOOMINGDALE AVE STE 501",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118118",
            "telephone_number": "813-699-3995",
            "fax_number": "813-315-1625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 W Gandy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336112931",
            "country_code": "US",
            "telephone_number": "813-925-1903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "AMANDA",
        "middle_name": "GRUNDEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "758148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122055",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11025356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.