Individual provider Active NPI

Myriam Paul, ARNP

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1205387826
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN9169405 Issued in FL
Practice address
5151 Adanson St
Orlando, FL 32804-1317
Phone
(321) 438-8315
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN9169405 FL Primary

Addresses

Primary practice location

5151 Adanson St
Orlando, FL 32804-1317

Mailing address

3773 Andover Cay Blvd
Orlando, FL 32825-2700
Phone (321) 438-8315

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
I20200819003957 FL Practitioner - Nurse Practitioner 8325318538 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orlando Tele Clinic LLCGroup PAC ID 8426436866, 5 clinicians

Practice addresses (Care Compare)

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (407) 335-3549

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Tele Clinic LLC CurrentSince May 3, 2024 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Orlando Transitional Care Specialists LLC CurrentSince Jun 1, 2025 Accepting new patients
New Beginnings Holdings, LLC Current Accepting new patients

Locations

100 Columbia St
Orlando, FL 32806
Phone (407) 245-0014

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

Organizations & group practices 4

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": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1205387826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3773 ANDOVER CAY BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328252700",
            "telephone_number": "321-438-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 ADANSON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328041317",
            "telephone_number": "321-438-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MYRIAM",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN9169405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.