Active NPI
Amanda Perry, APRN, FNP
- Family Nurse Practitioner
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11015485
- Practice address
- 4120 Henderson Blvd
Tampa, FL 33629-5750 - Phone
- (813) 281-5353
- NPI assigned
- Sep 23, 2021
- 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 Nurse Practitioner | 363LF0000X | APRN11015485 | FL | Primary |
Addresses
Primary practice location
4120 Henderson Blvd
Tampa, FL 33629-5750
Mailing address
4120 Henderson Blvd
Tampa, FL 33629-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 77.37 of 100
- Quality
- 74
- Improvement activities
- 40
- Cost
- 72.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380
12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473
8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840
7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943
4120 Henderson Blvd
Tampa, FL 33629
Phone (813) 281-5353
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1982375408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 HENDERSON BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4120 HENDERSON BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336295750",
"telephone_number": "813-281-5353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "AMANDA",
"credential": "APRN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-23",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11015485",
"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 Oct 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.