Individual provider Active NPI

Ernesto Jesus Cereijo Barreda Sr., APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1124597463
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11000128 Issued in FL
Practice address
900 S Goldenrod Rd Ste B
Orlando, FL 32822-8113
Phone
(407) 362-0148
Fax
(407) 271-8436
NPI assigned
Nov 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APRN11000128 FL Primary
Primary Care Nurse Practitioner 363LP2300X APRN11000128 FL

Addresses

Primary practice location

900 S Goldenrod Rd Ste B
Orlando, FL 32822-8113

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

1501 S Semoran Blvd
Orlando, FL 32807-2919
Phone (407) 587-7552

Other identifiers 1

IdentifierTypeStateIssuer
F10181313OtherFLAMERICAN ASSOC OF NURSR PRACTITIONERS

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
I20190523002272 FL Practitioner - Nurse Practitioner 6709129240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

900 S Goldenrod Rd
Suite B
Orlando, FL 32822-8113
Phone (407) 362-0148

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC Multi-Specialty CurrentSince May 20, 2019 Accepting new patients
Idelis Fedeslinda Arias de la Torre Multi-Specialty PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC Multi-Specialty PastSince Jan 5, 2025 Accepting new patients

Locations

121 S Orange Ave
Ste 940
Orlando, FL 32801
Phone 4076589687 ext. 129

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

810 N Nowell St
Orlando, FL 32808
Phone (407) 290-9556

900 S Goldenrod Rd
Ste B
Orlando, FL 32822
Phone (407) 281-6424

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ernesto.cereijo.barreda.1@27472.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1124597463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S GOLDENROD RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228113",
            "telephone_number": "407-362-0148",
            "fax_number": "407-271-8436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 S Semoran Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328072919",
            "country_code": "US",
            "telephone_number": "407-587-7552",
            "fax_number": "830-450-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEREIJO BARREDA",
        "first_name": "ERNESTO",
        "middle_name": "JESUS",
        "name_suffix": "Sr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000128",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11000128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOC OF NURSR PRACTITIONERS",
            "identifier": "F10181313",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.