Jennifer Jill Amen, M.D., M. P.H.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME134154 Issued in FL

Practice address

2830 Bee Ridge Rd
Sarasota, FL 34239

Phone

(941) 927-1234

Fax

(941) 921-0043

NPI assigned

Mar 29, 2007

Last updated

May 7, 2019By 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 3

Addresses

Other names 1

• Jennifer Jill Heaton Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• West Florida Physician Network, LLC

  dba HealthCare America Medical Group

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1376779496

  Multi-Specialty

  Medicare reassignment NPD
• Willard Emergency Physicians

  • Emergency Medicine Physician
  • Cottonwood, AZ
  • NPI 1598714743

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1871613380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 BENEVENTO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382876",
            "telephone_number": "918-312-0687",
            "fax_number": "941-921-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34239",
            "telephone_number": "941-927-1234",
            "fax_number": "941-921-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9716 Riverside Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741377450",
            "country_code": "US",
            "telephone_number": "918-299-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5132 Ocean Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342421637",
            "country_code": "US",
            "telephone_number": "941-312-6708",
            "fax_number": "941-702-8704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMEN",
        "first_name": "JENNIFER",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "M.D., M. P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME134154",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME134154",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME134154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HEATON",
            "middle_name": "JILL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amazing Life Chiropractic
• Troy Tymkew Ambrioso, LCSW
• Susan Ambrose-Rickard, MSW
• Ambulatory Care Physicians of Sarasota LLC
• Amcare Holdings of West Florida (Allegiance Care Services of West Florida)
• Bahaa Amer, M.D.
• America's Pharmacy LLC.
• America's Pharmacy LLC.
• American Current Care P.a . (Concentra Urgent Care)
• American Dermatology Associates Inc

• Family Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.