Individual provider Active NPI

Kira Elana Peterman-Diaz, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1043852593
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016787 Issued in FL
Practice address
12201 Research Pkwy Ste 300
Orlando, FL 32826-3265
Phone
(407) 823-2744
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN9392913 FL
Family Nurse Practitioner 363LF0000X APRN11016787 FL Primary

Addresses

Primary practice location

12201 Research Pkwy Ste 300
Orlando, FL 32826-3265

Mailing address

567 Piazza PT
Oviedo, FL 32765-5411
Phone (321) 284-6590

Other practice location 1

7727 Lake Underhill Rd
Orlando, FL 32822-8224
Phone (407) 303-8604

Other names 1

  • Kira Elana Peterman Former name

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
I20220309002165 FL Practitioner - Nurse Practitioner 9537554555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians

Practice addresses (Care Compare)

1208 Dunlawton Ave
Port Orange, FL 32127-4746
Phone (386) 304-7320

1245 W Granada Blvd
Adventhealth Centra Care Ormond Beach
Ormond Beach, FL 32174-5914
Phone (386) 317-9055

1270 Palm Coast Pkwy NW
Adventhealth Centra Care Palm Coast
Palm Coast, FL 32137-4738
Phone (407) 200-2300

1520 W Orange Blossom Trail
Adventhealth Centra Care Apopka
Apopka, FL 32712-2639
Phone (407) 703-4662

19015 US Hwy 441
Mount Dora, FL 32757-6708
Phone (352) 383-3484

2293 S Woodland Blvd
Adventhealth Centra Care Deland
Deland, FL 32720-8633
Phone (386) 279-7010

250 N Alafaya Trail
Adventhealth Centra Care Waterford Trail
Orlando, FL 32825-4315
Phone (407) 381-4810

2948 W Lake Mary Blvd
Adventhealth Centra Care Lake Mary
Lake Mary, FL 32746-3416
Phone (407) 732-7478

3759 Pleasant Hill Rd
Kissimmee, FL 34746-2937
Phone (863) 419-2723

440 W Hwy 436
Adventhealth Centra Care Altamonte
Altamonte Springs, FL 32714-4136
Phone (407) 788-2000

4451 W 1St St
Adventhealth Centra Care Sanford
Sanford, FL 32771-9082
Phone (407) 330-3412

8010 Red Bug Lake Rd
Oviedo, FL 32765-8084
Phone (407) 977-3677

855 S US Hwy 17 92
Longwood, FL 32750-5581
Phone (407) 699-8400

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9392913FLMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Adventist Health System /Sunbelt, Inc. Family CurrentSince Mar 4, 2022 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Mar 4, 2022 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Interoperability endpoints

  • Direct secure messaging: kpetermandiaz129707@adventhealth.direct-ci.com

Organizations & group practices 3

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 2

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1043852593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 PIAZZA PT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655411",
            "telephone_number": "321-284-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RESEARCH PKWY STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263265",
            "telephone_number": "407-823-2744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7727 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328228224",
            "country_code": "US",
            "telephone_number": "407-303-8604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERMAN-DIAZ",
        "first_name": "KIRA",
        "middle_name": "ELANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9392913",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRA",
            "last_name": "PETERMAN",
            "middle_name": "ELANA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.