Individual provider Active NPI

Jennifer Delgado-Santiago, ARNP

  • Family Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1194858134
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11013744 Issued in FL
Practice address
3415 W Lake Mary Blvd Unit 950209
Lake Mary, FL 32795-7510
Phone
(407) 907-6689
Fax
(407) 778-6233
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN9192287 FL
Family Nurse Practitioner 363LF0000X 11013744 FL Primary

Addresses

Primary practice location

3415 W Lake Mary Blvd Unit 950209
Lake Mary, FL 32795-7510

Mailing address

3415 W Lake Mary Blvd Unit 950209
Lake Mary, FL 32795-7510
Phone (407) 907-6689

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidFL

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
I20220812002943 FL Practitioner - Nurse Practitioner 7012390743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9192287FLMDCase Management Registered Nurse
11013744FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2022 Accepting new patients
Regency Endocrinology, Diabetes and Metabolism, Inc. Past Accepting new patients

Locations

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

60 W Gore St
Fl 2
Orlando, FL 32806
Phone (321) 841-3303

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAEBDA

Organizations & group practices 3

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1194858134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 W LAKE MARY BLVD UNIT 950209",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327957510",
            "telephone_number": "407-907-6689",
            "fax_number": "407-778-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W LAKE MARY BLVD UNIT 950209",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327957510",
            "telephone_number": "407-907-6689",
            "fax_number": "407-778-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO-SANTIAGO",
        "first_name": "JENNIFER",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9192287",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.