Individual provider Active NPI

Elizabeth Henson Vera, APRN

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1144816265
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
APRN11010577 Issued in FL
Practice address
9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998
Phone
(786) 362-2695
Fax
(941) 776-7877
NPI assigned
Dec 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11010577 FL
Primary Care Nurse Practitioner 363LP2300X APRN11010577 FL Primary

Addresses

Primary practice location

9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998

Mailing address

9753 S Orange Blossom TRL Ste 101
Orlando, FL 32837-8998
Phone (689) 310-2613

Other identifiers 1

IdentifierTypeStateIssuer
115593900MedicaidFL

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
I20210707001089 FL Practitioner - Nurse Practitioner 4789086216

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11010577FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitaminise Wellnest Clinic CurrentSince Jan 26, 2025 Accepting new patients

Locations

9753 S Orange Blossom Trl
Ste 101
Orlando, FL 32837
Phone (407) 942-8555

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": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1144816265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "689-310-2613",
            "fax_number": "407-386-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9753 S ORANGE BLOSSOM TRL STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328378998",
            "telephone_number": "786-362-2695",
            "fax_number": "941-776-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON VERA",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11010577",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11010577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115593900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.