Kellie Dee Cordovano, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

ARNP9241163 Issued in FL

Practice address

4749 South Orange Ave.
Orlando, FL 32806

Phone

(407) 859-7239

Fax

(407) 850-9185

NPI assigned

Jan 11, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Pediatrics Plus

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1821053505
  NPD
• Child Neurology Center of Orlando, P.a.

  • Specialist
  • Orlando, FL
  • NPI 1255396875
  NPD (past)

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1013287754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 SOUTH ORANGE AVE.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-859-7239",
            "fax_number": "407-850-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 SOUTH ORANGE AVE.",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32806",
            "telephone_number": "407-859-7239",
            "fax_number": "407-850-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVANO",
        "first_name": "KELLIE",
        "middle_name": "DEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9241163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenette R Cordova-Felipe, APRN
• Gina E Cordova
• Lauren Ashley Cordova, PT, DPT
• Mario A Cordova, PA-C
• Ruben Cordova
• Core Medical Supplies Inc
• Core Values Physical Therapy and Wellness, PLLC
• Megan Bevis Core, MD
• Corecare 4 U LLC
• Corecare Connections, LLC

• Pediatric Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.