Amber Lee Haymore, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11016239 Issued in FL

Practice address

4216 Cortez Rd W
Bradenton, FL 34210-3121

Phone

(941) 500-3100

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Amber Lee Proffitt Other 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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1891457180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 141ST CT NE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342121679",
            "telephone_number": "941-962-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103121",
            "telephone_number": "941-500-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMORE",
        "first_name": "AMBER",
        "middle_name": "LEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "9477928",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11016239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "PROFFITT",
            "middle_name": "LEE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Christopher Haughey, M.D.
• Laura Havelis
• Heather A Haverfield, D.C.
• Julia Havlovic, MD
• Havro Inc
• Dayna Haynes, MA
• Jeremy Haynes
• William Emory Haynes, DO
• Evan C Hays, O.D.
• Madeline Skye Hazuda

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.