Individual provider Active NPI

Trudy-Ann Camelle Alston, DO

  • Family Medicine Physician
  • Winter Park, FL
National Provider Identifier
1043716749
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS17481 Issued in FL
Practice address
1030 W Canton Ave Ste G100
Winter Park, FL 32789-3050
Phone
(407) 901-4086
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS17481 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1030 W Canton Ave Ste G100
Winter Park, FL 32789-3050

Mailing address

1030 W Canton Ave Ste G100
Winter Park, FL 32789-3050
Phone (407) 901-4086

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831002224 FL Practitioner - Family Practice 6305241316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia Col of Osteo Med, Sewanee, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

1030 W Canton Ave
Suite G100
Winter Park, FL 32789-3050
Phone (407) 901-4086

2005 Mizell Ave
Suite 1600a
Winter Park, FL 32792-4126
Phone (407) 646-7380

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Home Health Home health agency, Altamonte Springs, FL, CCN 107211
  • Centerwell Home Health Home health agency, Orlando, FL, CCN 107234
  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Amedisys Home Health Home health agency, Altamonte Springs, FL, CCN 107660
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health Hospital, Orlando, FL, CCN 100006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Jun 2, 2025 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

2005 Mizell Ave
Ste 1600A
Winter Park, FL 32792
Phone (407) 646-7380

1030 W Canton Ave
Ste G100
Winter Park, FL 32789
Phone (407) 901-4086

Interoperability endpoints

  • Direct secure messaging: talston146155@adventhealth.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1043716749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W CANTON AVE STE G100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893050",
            "telephone_number": "407-901-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W CANTON AVE STE G100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327893050",
            "telephone_number": "407-901-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "TRUDY-ANN",
        "middle_name": "CAMELLE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS17481",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.