Active NPI
Ellen Probst, ARNP
- Nurse Practitioner
- Orlando, FL
National Provider Identifier
1134496235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9216711
- Practice address
- 1222 S Orange Ave
Orlando, FL 32806-1215 - Phone
- (407) 650-1300
- Fax
- (407) 650-1307
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 9216711 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9216711 | FL | Primary |
Addresses
Primary practice location
1222 S Orange Ave
Orlando, FL 32806-1215
Mailing address
1222 S Orange Ave
Orlando, FL 32806-1215
Phone (407) 650-1300
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9216711 | FL | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1134496235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061215",
"telephone_number": "407-650-1300",
"fax_number": "407-650-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061215",
"telephone_number": "407-650-1300",
"fax_number": "407-650-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROBST",
"first_name": "ELLEN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9216711",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9216711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.