Active NPI
Amanda Jane Conti, ARNP
- Nurse Practitioner
- Tampa, FL
National Provider Identifier
1912415217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9308669
- Practice address
- 3106 W Gray St
Tampa, FL 33609-1516 - Phone
- (813) 690-3709
- NPI assigned
- Jan 21, 2018
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9308669 | FL | Primary |
Addresses
Primary practice location
3106 W Gray St
Tampa, FL 33609-1516
Mailing address
3106 W Gray St
Tampa, FL 33609-1516
Phone (813) 690-3709
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9308669 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1912415217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 W GRAY ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091516",
"telephone_number": "813-690-3709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 W GRAY ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091516",
"telephone_number": "813-690-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTI",
"first_name": "AMANDA",
"middle_name": "JANE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-21",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9308669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.