Active NPI
Kira Elana Peterman-Diaz, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11016787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9392913 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System Sunbelt, Inc. | Family | Current | Accepting new patients |
| Adventist Health System /Sunbelt, Inc. | Family | Current | Accepting new patients |
| Adventist Health System/ Sunbelt, Inc. | Family | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1013563816
Family
-
- Urgent Care Clinic/Center
- The Villages, FL
- NPI 1396605440
Family
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.