Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013382365 Individual Practitioner Female Practitioner

Amanda K Van Vliet

Nurse Practitioner • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Amanda Van Vliet is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville, FL. Practice services are available at 7406 FULLERTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7406 Fullerton St

Jacksonville, FL 322563552

Telephone 9048026800
Fax 9042499764

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN9343112

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Christopher Potter , MD

Psychiatry & Neurology - Neurology

NPI 1043207657

Doctor of Medicine (M.D.)

Kenneth Ryan , APRN

Nurse Practitioner

NPI 1053747493

Advanced Practice Registered Nurse

Rachael Beasley , APRN

Nurse Practitioner

NPI 1063303592

Advanced Practice Registered Nurse

Taryn Hamilton , APRN

Nurse Practitioner

NPI 1063909315

Advanced Practice Registered Nurse

Maria Batista , APRN

Nurse Practitioner

NPI 1134856172

Advanced Practice Registered Nurse

Dr. Karen Thalinger , MD

Psychiatry & Neurology - Neurology

NPI 1255328860

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 17, 2025

Registered at 7406 FULLERTON ST, JACKSONVILLE, FL 322563552 (Tel: 9048026800)

📍
Updated Business Mailing Address March 17, 2025

Registered at 7406 FULLERTON ST STE 105, JACKSONVILLE, FL 322563588 (Tel: 9048026800)

👤
Provider Name / Credentials Updated March 17, 2025

Recorded as AMANDA VAN VLIET

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2025

Nurse Practitioner (License #APRN9343112 in FL)

📍
Updated Business Mailing Address July 29, 2021

Registered at 208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 320865135 (Tel: 9048242201)

👤
Provider Name / Credentials Updated July 29, 2021

Recorded as AMANDA VAN VLIET, FNP-BC

📍
Updated Practice Location May 22, 2018

Registered at 1370 13TH AVE S STE 215, JACKSONVILLE BEACH, FL 32250 (Tel: 9042491041)

📍
Updated Business Mailing Address May 22, 2018

Registered at PO BOX 41113, JACKSONVILLE, FL 322031113 (Tel: 9043764400)

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2016

Registered at 208 SOUTHPARK CIR E, SAINT AUGUSTINE, FL 320865135 (Tel: 9048242201)

📍
Updated Business Mailing Address August 30, 2016

Registered at 402 STONEHURST PKWY, SAINT AUGUSTINE, FL 320925017 (Tel: 9542600680)

👤
Provider Name / Credentials Updated August 30, 2016

Recorded as AMANDA SCHMIDT, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Registered Nurse (License #9343112 in FL)

🟢
Initial NPI Registration & Enumeration December 10, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013382365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2015
Last Update: March 17, 2025
Sole Proprietor: No

Mailing Address

7406 Fullerton St Ste 105

Jacksonville, FL 322563588

Phone: 9048026800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.