Active NPI
Amanda Climacosa Zaide, M.D.
- Family Medicine Physician
- Jacksonville, FL
National Provider Identifier
1841397809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME33447
- Practice address
- 4760 Blanding Blvd
Jacksonville, FL 32210-7327 - Phone
- (904) 778-4448
- Fax
- (904) 778-3634
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME33447 | FL | Primary |
Addresses
Primary practice location
4760 Blanding Blvd
Jacksonville, FL 32210-7327
Mailing address
PO Box 440026
Jacksonville, FL 32222-0001
Phone (904) 778-4448
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254654000 | Medicaid | FL | |
| 12899 | Other | FL | BLUE CROSS BLUE SHIELD |
| 830347748 | Other | FL | HUMANA |
| 5949632 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamounette Chiropractic Clinic Inc | Past | Accepting new patients | |
| Ulysses D. Findley, MD, PA | Past | Accepting new patients |
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.
-
- Chiropractor
- Jacksonville, FL
- NPI 1942878327
-
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1518223965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1841397809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 440026",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322220001",
"telephone_number": "904-778-4448",
"fax_number": "904-778-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 BLANDING BLVD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322107327",
"telephone_number": "904-778-4448",
"fax_number": "904-778-3634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAIDE",
"first_name": "AMANDA",
"middle_name": "CLIMACOSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME33447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254654000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12899",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "830347748",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5949632",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.