Individual provider Active NPI

Rusha Khanal, NP

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1033861919
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016682 Issued in FL
Practice address
1341 Lukas Acres Way
Oviedo, FL 32765-5275
Phone
(617) 840-5541
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016682 FL Primary

Addresses

Primary practice location

1341 Lukas Acres Way
Oviedo, FL 32765-5275

Mailing address

1341 Lukas Acres Way
Oviedo, FL 32765-5275
Phone (617) 840-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610004045 FL Practitioner - Nurse Practitioner 6800306606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11016682FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Urgent Care of Florida LLC CurrentSince Apr 6, 2025 Accepting new patients
Digestive and Liver Center of FL, LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

100 N Dean Rd
Ste 100
Orlando, FL 32825

206 N Dean Rd
Ste 110
Orlando, FL 32825
Phone (407) 900-7184

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGCAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1033861919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 LUKAS ACRES WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655275",
            "telephone_number": "617-840-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 LUKAS ACRES WAY",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655275",
            "telephone_number": "617-840-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAL",
        "first_name": "RUSHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.