Active NPI
Dianne Zamudio
- Home Health Agency
- Orlando, FL
National Provider Identifier
1194027193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 10821 Fallow TRL
Orlando, FL 32817-2081 - Phone
- (407) 860-5475
- Fax
- (407) 672-0866
- NPI assigned
- Nov 23, 2010
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
10821 Fallow TRL
Orlando, FL 32817-2081
Mailing address
PO Box 5324
Winter Park, FL 32793-5324
Phone (407) 860-5475
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003954900 | Medicaid | FL | |
| 000316500 | Medicaid | FL | |
| 004122000 | Medicaid | FL | |
| 000316501 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Care | Home Health | Past | Accepting new patients |
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.
-
- Home Health Agency
- Orlando, FL
- NPI 1649693318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1194027193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5324",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327935324",
"telephone_number": "407-860-5475",
"fax_number": "407-672-0866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10821 FALLOW TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328172081",
"telephone_number": "407-860-5475",
"fax_number": "407-672-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMUDIO",
"first_name": "DIANNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003954900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000316500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004122000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000316501",
"state": "FL"
}
],
"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 Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.