Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Amantha Theodore

Individual provider Family Nurse Practitioner · NPI 1003421066

Miss. Amantha Theodore is a Nurse Practitioner in Mount Vernon, New York. Qualified in 2020, 6 years ago. Practices with Advanced Care Hospitalists Pl, a 69-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
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Practice location Address checks out

531 E Lincoln Ave Apt 4N
Mount Vernon, NY 10552-3743
Phone: (718) 920-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN9364653 (FL)

Record details

NPI number1003421066
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2020
Last updated in NPPESSeptember 15, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advanced Care Hospitalists Pl — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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