Individual provider Active NPI

Kataceya Angela Lamanna, APRN

  • Family Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1245709740
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9378631 Issued in FL
Practice address
550 Pope Ave NW
Winter Haven, FL 33881-4679
Phone
(863) 299-2630
Fax
(407) 285-4515
NPI assigned
Nov 14, 2018
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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 APRN9378631 FL Primary

Addresses

Primary practice location

550 Pope Ave NW
Winter Haven, FL 33881-4679

Mailing address

6900 Tavistock Lakes Blvd Ste 300
Orlando, FL 32827-7592
Phone (863) 646-4000

Other practice location 1

1208 Burlington Ct
Auburndale, FL 33823-2361
Phone (863) 307-0855

Other names 1

  • Kataceya Angela Taylor Former name

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
I20190506000752 FL Practitioner - Nurse Practitioner 5799027173 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespot of Orlando Hsi Urgent Care LLCGroup PAC ID 8921372558, 55 clinicians

Practice addresses (Care Compare)

1615 E Hwy 50
Suite 200
Clermont, FL 34711-5124
Phone (352) 404-4463

2306 E Irlo Bronson Memorial Highwa
Kissimmee, FL 34744-5401
Phone (866) 765-2684

2306 E Irlo Bronson Memorial Hwy
Kissimmee, FL 34744-5401

2555 S Kirkman Rd
Carespot Urgent Care
Orlando, FL 32811-2346
Phone (407) 362-2030

3840 State Rd
436 Suite 1000
Apopka, FL 32703-6041
Phone (615) 600-4074

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9378631FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Boynton Urgent Care, LLC CurrentSince Mar 17, 2024 Accepting new patients
Trinity Medical Physicians, LLC CurrentSince Apr 19, 2022 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC CurrentSince Mar 17, 2024 Accepting new patients
Solantic of Jacksonville, LLC CurrentSince Mar 17, 2024 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Mar 17, 2024 Accepting new patients
Solantic/South Florida, LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

8756 Boynton Rd W
Ste 150
Boynton Beach, FL 33472
Phone (561) 740-2273

1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

3240 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 644-7337

3240 S Florida Ave
Ste 105
Lakeland, FL 33803
Phone (863) 644-7337

18706 NW 67th Ave
Miami Gardens, FL 33015
Phone (786) 563-0280

6900 Tavistock Lakes Blvd
Ste 300
Orlando, FL 32827
Phone (321) 332-6947

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1245709740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TAVISTOCK LAKES BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277592",
            "telephone_number": "863-646-4000",
            "fax_number": "407-285-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 POPE AVE NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814679",
            "telephone_number": "863-299-2630",
            "fax_number": "407-285-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Burlington Ct",
            "address_purpose": "LOCATION",
            "city": "Auburndale",
            "state": "FL",
            "postal_code": "338232361",
            "country_code": "US",
            "telephone_number": "863-307-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMANNA",
        "first_name": "KATACEYA",
        "middle_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9378631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATACEYA",
            "last_name": "TAYLOR",
            "middle_name": "ANGELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.