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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA MAE DISTIN APRN
NPI 1487598769
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

Active since April 16, 2026
1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 10, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Amanda Mae Distin Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MAE DISTIN APRN (NPI 1487598769) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (APRN11046724) and active in the NPI registry since April 2026. She maintains 5 additional practice locations.

NPPES Registry Identity

NPI1487598769
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA MAE DISTINCredential: APRN
Location Address1835 GILMORE AVELakeland, FL 33805-3017
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Phone(863) 519-0575
Fax(863) 582-9251
Sole ProprietorNo
Enumeration DateApril 16, 2026
Last NPPES UpdateSeptember 10, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1487598769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11046724
1835 GILMORE AVE, Lakeland, FL 33805
Open in Google Maps ↗

Secondary Practice Locations 5

Location 11255 Golfview AveBartow, FL 33830-6736 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 2213 E Orange St Ste BWauchula, FL 33873-2934 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 3715 N Lake Ave Ste 1Lakeland, FL 33801-1908 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 43750 Emergency Ln Ste 100Sebring, FL 33870-5500 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251
Location 51 Scenic Central Ste 100Lake Wales, FL 33853-6107 · Phone (863) 519-0575 ext. 6494 · Fax (863) 582-9251

Other Identifiers 1

Medicaid132771300FL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA ANDERSON LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
CHARLES A BARRIOS MD
Psychiatry & Neurology (Psychiatry)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MYRIAM BUITRAGO LMHC
Counselor (Mental Health)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MRS. TONYA FLORES LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MARY E BRADY LPN
Licensed Practical Nurse
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
EDITH CREMERIUS MSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
JESSICA DOBBERTIN BORRUSO LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
ADELMA ANSLEY KILGORE LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Distin's NPI number?

The NPI number for Amanda Distin is 1487598769. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Amanda Distin located?

Amanda Distin practices at 1835 Gilmore Ave, Lakeland, FL 33805. The listed phone number is (863) 519-0575.

What is Amanda Distin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Amanda Distin was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.