Andrea Ethel Thayer, MSN, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9495387 Issued in FL

Practice address

13704 Village Lakeview Ave.
Suite #250
Windermere, FL 34786

Phone

(407) 408-7931

Fax

(407) 393-5526

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13830/brand/1/csg/1/fhir/r4

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.

• Sunshine Pediatrics of Central Florida

  • Pediatrics Physician
  • Maitland, FL
  • NPI 1649719477
  NPD (past)
• Sunshine Pediatrics of Central Florida, PL

  • Pediatrics Physician
  • Maitland, FL
  • NPI 1962411744
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1063827855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13704 VILLAGE LAKEVIEW AVE.",
            "address_2": "SUITE# 250",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "34786",
            "telephone_number": "407-408-7931",
            "fax_number": "407-393-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13704 VILLAGE LAKEVIEW AVE.",
            "address_2": "SUITE #250",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "34786",
            "telephone_number": "407-408-7931",
            "fax_number": "407-393-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "ANDREA",
        "middle_name": "ETHEL",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-94770-092",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-77278-092",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "9495387",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9495387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ten Broeck Tennessee Physicians Group Inc (Ten Broeck Healthcare)
• Ten Broeck Tennessee Physicians Group Inc
• Ten X Health, LLC
• Rupal Thakkar, D.M.D.
• Yumna Thariani, M.D
• Heather Thayer, PT, DPT
• The Engage ABA Resource and Learning Center
• Three Twelve LLC
• Ryley Tillery, APRN, FNP-C
• Karen Titzer

• Nurse Practitioner in Windermere, FL
• Providers in Windermere, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.