Ardiana Maloku Teran, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN9261560 Issued in FL

Practice address

835 7TH St
Suite 5
Clermont, FL 34711-2190

Phone

(352) 404-8961

Fax

(352) 404-8996

NPI assigned

May 25, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Orange Doc Family Medicine,PLLC

  • Primary Care Clinic/Center
  • Clermont, FL
  • NPI 1316226657
  Medicare reassignment NPD

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1154614089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 5",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-404-8961",
            "fax_number": "352-404-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 5",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-404-8961",
            "fax_number": "352-404-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "ARDIANA",
        "middle_name": "MALOKU",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-25",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "RN9261560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Case Tedder, M.D.
• Misun Tisa Kang Tellez, DMD
• Heather R Tempest, APRN
• Edison Tenezaca Quizhpi, MD
• Adolfo Enrique Teran, M.D.
• Rebecca Lyn Terranova, CF-SLP
• Amar Thakkar, PHARMD
• The Brace Place, Inc
• The Community Health Education and Assistance Program, Inc.
• The Desoto Group, LLC

• Pediatric Nurse Practitioner in Clermont, FL
• Providers in Clermont, FL by specialty
• Pediatric Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.