Ari Vidallo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11034674 Issued in FL

Practice address

1720 SE 16TH Ave Ste 304-C
Ocala, FL 34471-4620

Phone

(352) 857-8417

Fax

(352) 657-2435

NPI assigned

Aug 12, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ari.vidallo.1@22364.direct.athenahealth.com

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.

• Elyaman Medical Services PA

  dba Absolute Elder Care

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1609251685
  Medicare reassignment NPD
• Av Health Solutions LLC

  • Primary Care Clinic/Center
  • Haines City, FL
  • NPI 1427999614
  NPD Authorized official

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1306677455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 S KIRKMAN RD APT 218",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112318",
            "telephone_number": "407-561-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SE 16TH AVE STE 304-C",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714620",
            "telephone_number": "352-857-8417",
            "fax_number": "352-657-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDALLO",
        "first_name": "ARI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11034674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Facility LLC (Victory Care Center)
• Vida Chiropractic Inc
• Fermin O Vidal
• Joseph Anthony Vidal, MD
• Lisandra Vidal, DNP, ARNP, CPNP-PC
• Yudiel Viera Gonzalez
• Village Home Care, LLC
• Marcelo Allen Villalba
• Carmen Mercedes Villanueva, MD
• Estephanie Villanueva

• Family Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.