Amanda Bradshaw, APRN, WHNP
Individual provider Active NPI Women's Health Nurse Practitioner · Celebration, FL
NPI 1790632289 · NPPES record last updated Mar 13, 2026
Key facts
- NPI
- 1790632289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 11045856 (FL)
- Practice address
- 410 Celebration PL Ste 208
Celebration, FL 34747-5434 - Phone
- (877) 800-0239
- NPI assigned
- Mar 13, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5801 Postal Rd
Cleveland, OH 44181-9600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260330003566 | FL | Practitioner - Nurse Practitioner | 6507341302 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11045856 | FL | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 11045856 | FL | Yes |
Addresses
Primary practice location
410 Celebration PL Ste 208
Celebration, FL 34747-5434
Mailing address
2906 Lampp Rd
Plant City, FL 33565-2626
Phone (813) 763-7672
Other providers in Celebration, FL
- Kevin M Boerner
- Jonathan David Bohner
- Richard Bosso
- Natalie Jill Bowles
- Elizabeth Missey Boykin
- Deborah Lee Brady-Hull
- Breast Care Specialists, LLC
- Breast Imaging Experts, LLC
- Stephen M Brenan
- Ronald Joseph Brissette
All providers in Celebration, FL · Women's Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.