Juliet D Providence

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

1317 Edgewater Dr # 4354
Orlando, FL 32804-6350

Phone

(321) 335-4327

Fax

(407) 789-3637

NPI assigned

Apr 6, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Donna Providence Former name

Electronic endpoints 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Personal Care PPC

  • Homemaker
  • Orlando, FL
  • NPI 1568103919
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1003557752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 4354",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "424-206-0650",
            "fax_number": "407-789-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 EDGEWATER DR # 4354",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046350",
            "telephone_number": "321-335-4327",
            "fax_number": "407-789-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVIDENCE",
        "first_name": "JULIET",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "01139113",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "ppc@providencepersonalcare.com",
            "address_1": "1317 Edgewater Dr",
            "address_2": "#4354",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "FHIR",
            "affiliation": "N",
            "endpointDescription": "API",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "RESTFUL",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1317 Edgewater Dr",
            "address_2": "#4354",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "API",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5240 Ithaca Ave",
            "address_2": "2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "NPI",
            "affiliation": "N",
            "endpointDescription": "Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "ppc@providencepersonalcare.com",
            "address_1": "5240 Ithaca Ave",
            "address_2": "2",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "90032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "npi",
            "affiliation": "N",
            "endpointDescription": "apls",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://nppes.cms.hhs.gov/#/healthInformationExchange#top",
            "address_1": "1317 Edgewater dr",
            "address_2": "4354",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "PROVIDENCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Lea Hood Provencher, CPNP-PC
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• Maya Suzie Prudhomme, BEHAVIOR TECHNICIAN
• Anna Pruitt, RBT

• Nurse's Aide in Orlando, FL
• Providers in Orlando, FL by specialty
• Nurse's Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.