Healthcare Provider Details

I. General information

NPI: 1013940691
Provider Name (Legal Business Name): AMY KATHLEEN LHOTE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/07/2020
Certification Date: 05/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S BENEVA RD
SARASOTA FL
34232
US

IV. Provider business mailing address

2881 HYDE PARK ST
SARASOTA FL
34239-3228
US

V. Phone/Fax

Practice location:
  • Phone: 941-365-7390
  • Fax: 941-365-5469
Mailing address:
  • Phone: 941-366-2460
  • Fax: 941-366-3015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP007541
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001766
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: