Individual provider Active NPI

Gary Francis Wright Jr., NP-C

  • Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1194366609
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11004247 Issued in FL
Practice address
8927 Conroy Windermere Rd
Orlando, FL 32835
Phone
(407) 395-4473
Fax
(407) 567-7900
NPI assigned
Oct 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11004247 FL Primary

Addresses

Primary practice location

8927 Conroy Windermere Rd
Orlando, FL 32835

Mailing address

820 Palmway St
Kissimmee, FL 34744-4542
Phone (407) 931-3700

Other practice location 1

1500 River Shore Dr Apt 112
Louisville, KY 40206-1793
Phone (845) 674-7631

Other practice location 2

820 Palmway St
Kissimmee, FL 34744-4542
Phone (407) 931-3700

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
I20191211001433 FL Practitioner - Nurse Practitioner 1052744752

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11004247FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1194366609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 PALMWAY ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444542",
            "telephone_number": "407-931-3700",
            "fax_number": "407-567-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 CONROY WINDERMERE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32835",
            "telephone_number": "407-395-4473",
            "fax_number": "407-567-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 River Shore Dr Apt 112",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061793",
            "country_code": "US",
            "telephone_number": "845-674-7631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Palmway St",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347444542",
            "country_code": "US",
            "telephone_number": "407-931-3700",
            "fax_number": "407-567-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GARY",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11004247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.