Individual provider Active NPI

Rachael Maria Pittala, ARNP

  • Family Nurse Practitioner
  • Windermere, FL
National Provider Identifier
1215440383
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9273779 Issued in FL
Practice address
2831 Maguire Rd
Windermere, FL 34786-6057
Phone
(407) 654-0568
NPI assigned
Nov 13, 2017
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9273779 FL Primary

Addresses

Primary practice location

2831 Maguire Rd
Windermere, FL 34786-6057

Mailing address

2831 Maguire Rd
Windermere, FL 34786-6057
Phone (407) 654-0568

Other practice location 1

2831 Maguire Rd
Windermere, FL 34786-6057
Phone (407) 654-0568

Other identifiers 1

IdentifierTypeStateIssuer
023171500MedicaidFL

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Inc CurrentSince Aug 1, 2022 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1215440383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 MAGUIRE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866057",
            "telephone_number": "407-654-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 MAGUIRE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347866057",
            "telephone_number": "407-654-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Maguire Rd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347866057",
            "country_code": "US",
            "telephone_number": "407-654-0568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITTALA",
        "first_name": "RACHAEL",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9273779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023171500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windermere, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.