AMANDA DAVIS DORN DO
NPI 1982164810
Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is Amanda Dorn's NPI number?

The NPI number for Amanda Dorn is 1982164810. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Amanda Dorn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Dorn was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since March 25, 2019PECOS Enrolled

235 E PRINCETON ST STE 200, ORLANDO, FL 32804(407) 303-1444 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2023, Sep 9, 2022 (2 updates tracked since 2022).

On this page

About Amanda Davis Dorn Do NPPES

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

AMANDA DAVIS DORN DO (NPI 1982164810) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (UO8854) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anderson.

NPPES Registry Identity

NPI1982164810

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAMANDA DAVIS DORNCredential: DO

Location Address235 E PRINCETON ST STE 200Orlando, FL 32804-5555

Mailing Address1010 Pensacola StHonolulu, HI 96814-2118 · (808) 432-2000

Phone(407) 303-1444

Sole ProprietorNo

Enumeration DateMarch 25, 2019

Last NPPES UpdateMay 25, 20232 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1982164810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in FL · UO8854

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License DOS-2293 (HI)

235 E PRINCETON ST STE 200, Orlando, FL 32804

Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 E Greenville St Ste 3700Anderson, SC 29621-1725 · Phone (864) 512-1115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Davis Dorn Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

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

SHANNON HUGHES APRN

Nurse Practitioner (Women's Health)