Individual provider Active NPI

Katrina Emilia Noboa, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1316594112
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002849 Issued in FL
Practice address
250 N Alafaya TRL Ste 100
Orlando, FL 32828-4316
Phone
(407) 282-4400
Fax
(407) 282-4191
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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 APRN11002849 FL Primary

Addresses

Primary practice location

250 N Alafaya TRL Ste 100
Orlando, FL 32828-4316

Mailing address

250 N Alafaya TRL Ste 100
Orlando, FL 32828-4316
Phone (407) 282-4400

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
I20191023001581 FL Practitioner - Nurse Practitioner 5395077457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

4270 Aloma Ave
Suite 196
Winter Park, FL 32792-9393
Phone (407) 599-6190

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002849FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc CurrentSince Oct 14, 2019 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Aug 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Oct 14, 2019 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

250 N Alafaya Trl
Ste 100
Orlando, FL 32828
Phone (407) 282-4400

Interoperability endpoints

  • Direct secure messaging: knoboa74008@adventhealth.direct-ci.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1316594112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N ALAFAYA TRL STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284316",
            "telephone_number": "407-282-4400",
            "fax_number": "407-282-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ALAFAYA TRL STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284316",
            "telephone_number": "407-282-4400",
            "fax_number": "407-282-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBOA",
        "first_name": "KATRINA",
        "middle_name": "EMILIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.