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AMANDA MAE DISTIN
NPI 1487598769
Nurse Practitioner - Psychiatric/Mental Health in Eagle Lake, FL

Active since April 16, 2026
682 E EAGLE AVE, EAGLE LAKE, FL 33839(440) 417-4482 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Mae Distin NPPES

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

AMANDA MAE DISTIN (NPI 1487598769) is an individual psychiatric/mental health provider in Eagle Lake, Florida, licensed in Florida (APRN11046724) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1487598769
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA MAE DISTIN
Location Address682 E EAGLE AVEEagle Lake, FL 33839-3238
Mailing Address682 E Eagle AveEagle Lake, FL 33839-3238 · (440) 417-4482
Phone(440) 417-4482
Sole ProprietorYes
Enumeration DateApril 16, 2026
NPPES CertifiedMarch 20, 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
682 E EAGLE AVE, Eagle Lake, FL 33839
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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 682 E Eagle Ave, Eagle Lake, FL 33839. The listed phone number is (440) 417-4482.

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 April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.