Individual provider Active NPI

Maiya Anasha Patel

  • Family Nurse Practitioner
  • Winter Park, FL
National Provider Identifier
1093554834
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032576 Issued in FL
Practice address
2200 Glenwood Dr Ste 201
Winter Park, FL 32792-3315
Phone
(407) 740-5127
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 11032576 FL Primary

Addresses

Primary practice location

2200 Glenwood Dr Ste 201
Winter Park, FL 32792-3315

Mailing address

2200 Glenwood Dr Ste 201
Winter Park, FL 32792-3315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11032576FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Breast Center, PA CurrentSince May 26, 2024 Accepting new patients

Locations

2200 Glenwood Dr
Ste 201
Winter Park, FL 32792
Phone (407) 740-5127

Interoperability endpoints

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1093554834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GLENWOOD DR STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GLENWOOD DR STE 201",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923315",
            "telephone_number": "407-740-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MAIYA",
        "middle_name": "ANASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.