Organization Active NPI

Primehealth Family Practice LLC

  • Primary Care Nurse Practitioner
  • Altamonte Springs, FL
National Provider Identifier
1023955929
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
PRIMEHEALTH FAMILY PRACTICE LLC
Practice address
140 N Weathersfield Ave
Altamonte Springs, FL 32714-6821
Phone
(732) 621-3697
Fax
(732) 621-3697
NPI assigned
Apr 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Andres M Fernandez Herrera, NPNPI 1982001012
Title
Owner
Phone
(732) 621-3697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

140 N Weathersfield Ave
Altamonte Springs, FL 32714-6821

Mailing address

140 N Weathersfield Ave
Altamonte Springs, FL 32714-6821
Phone (732) 621-3697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260608001353 FL Part B Supplier - Clinic/Group Practice 1557832896 Receives reassigned benefits from 1 practitioner
Practice locations: Altamonte Springs, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1777507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1023955929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N WEATHERSFIELD AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327146821",
            "telephone_number": "732-621-3697",
            "fax_number": "732-621-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N WEATHERSFIELD AVE",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327146821",
            "telephone_number": "732-621-3697",
            "fax_number": "732-621-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEHEALTH FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-30",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ HERRERA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-621-3697",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.