Individual provider Active NPI

Amber Brooke Boatright Howard, APRN, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1811325376
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN209693 Issued in GA
Practice address
111 Colonial Way
Jesup, GA 31545-0130
Phone
(912) 588-9110
NPI assigned
Oct 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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 RN209693 GA Primary

Addresses

Primary practice location

111 Colonial Way
Jesup, GA 31545-0130

Mailing address

3379 Hugh Driggers Rd
Glennville, GA 30427-6416
Phone (912) 334-0522

Other practice location 1

586 Brannen St
Statesboro, GA 30458-5557
Phone (912) 871-6611

Other practice location 2

3003 Wilton Threatt Rd
Claxton, GA 30417-4765
Phone (912) 334-0522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170124002012 GA Practitioner - Nurse Practitioner 7810279031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN209693GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jul 28, 2020 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Jul 28, 2020 Accepting new patients

Locations

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

Organizations & group practices 2

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": "1382313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1811325376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 HUGH DRIGGERS RD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304276416",
            "telephone_number": "912-334-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLONIAL WAY",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450130",
            "telephone_number": "912-588-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "586 Brannen St",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304585557",
            "country_code": "US",
            "telephone_number": "912-871-6611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3003 Wilton Threatt Rd",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304174765",
            "country_code": "US",
            "telephone_number": "912-334-0522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "AMBER",
        "middle_name": "BROOKE BOATRIGHT",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-21",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN209693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.