Individual provider Active NPI

Nora Lee Vandenbrink

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1023644192
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11006058 Issued in FL
Practice address
2501 N Orange Ave Ste 689
Orlando, FL 32804-4648
Phone
(407) 303-2024
Fax
(407) 303-2038
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN11006058 FL
Family Nurse Practitioner 363LF0000X APRN11006058 FL Primary

Addresses

Primary practice location

2501 N Orange Ave Ste 689
Orlando, FL 32804-4648

Mailing address

664 Mourning Dove Cir
Lake Mary, FL 32746-3932
Phone (407) 963-3822

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL orlando Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11006058FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1023644192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 MOURNING DOVE CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463932",
            "telephone_number": "407-963-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N ORANGE AVE STE 689",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044648",
            "telephone_number": "407-303-2024",
            "fax_number": "407-303-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBRINK",
        "first_name": "NORA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "APRN11006058",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11006058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "orlando",
            "affiliation": "N",
            "endpointDescription": "hospital and physician office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 E Rollins St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328031248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.