Active NPI
Amy Marie Lemonis, CO, LO, LPR
- Specialist
- Fort Myers, FL
National Provider Identifier
1992025175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ORT184
- Practice address
- 3660 Central Ave
Suite 6
Fort Myers, FL 33901-7699 - Phone
- (239) 936-3736
- Fax
- (239) 936-1171
- NPI assigned
- Jun 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ORT184 | FL | Primary |
Addresses
Primary practice location
3660 Central Ave
Suite 6
Fort Myers, FL 33901-7699
Mailing address
3660 Central Ave
Suite 6
Fort Myers, FL 33901-7699
Phone (239) 936-3736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ORT184 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Other names 1
- Ms. Amy Marie Mountain
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 |
|---|---|---|---|
| ORT184 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276128000000",
"number": "1992025175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 CENTRAL AVE",
"address_2": "SUITE 6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017699",
"telephone_number": "239-936-3736",
"fax_number": "239-936-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 CENTRAL AVE",
"address_2": "SUITE 6",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339017699",
"telephone_number": "239-936-3736",
"fax_number": "239-936-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMONIS",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CO, LO, LPR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-10",
"last_updated": "2010-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ORT184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "ORT184",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "MOUNTAIN",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "CO, LO, LPR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.