Active NPI
Amie Gimon, ARNP
- Adult Health Nurse Practitioner
- Altamonte Springs, FL
National Provider Identifier
1881135598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 9262152
- Practice address
- 405 W Central Pkwy
Altamonte Springs, FL 32714-2441 - Phone
- (407) 790-4990
- NPI assigned
- Mar 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9262152 | FL | |
| Occupational Health Nurse Practitioner | 363LX0106X | 9262152 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 9262152 | FL | Primary |
Addresses
Primary practice location
405 W Central Pkwy
Altamonte Springs, FL 32714-2441
Mailing address
8912 Esguerra LN
Orlando, FL 32836-5443
Other practice location 1
210 S Lake St Ste 4
Leesburg, FL 34748-7369
Phone (352) 314-9300
Other practice location 2
601 E Rollins St
Ginsberg Tower 11, Neuro ICU
Orlando, FL 32803-1248
Phone (407) 303-9819
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9262152 | FL | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology of Central Florida | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIDECA
Organizations & group practices 1
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.
-
- Neurology Physician
- Altamonte Springs, FL
- NPI 1417388455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586736000000",
"number": "1881135598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8912 ESGUERRA LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W CENTRAL PKWY",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327142441",
"telephone_number": "407-790-4990"
}
],
"practiceLocations": [
{
"address_1": "210 S Lake St Ste 4",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347487369",
"country_code": "US",
"telephone_number": "352-314-9300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Rollins St",
"address_2": "Ginsberg Tower 11, Neuro ICU",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031248",
"country_code": "US",
"telephone_number": "407-303-9819",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIMON",
"first_name": "AMIE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-14",
"last_updated": "2020-04-13",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "9262152",
"primary": false
},
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "FL",
"license": "9262152",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9262152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.