Individual provider Active NPI

Sherrine Faye Richmond, ARNP

  • Nurse Practitioner
  • Lake Mary, FL
National Provider Identifier
1326385105
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP 9213911 Issued in FL
Practice address
917 Rinehart Rd Ste 2061
Lake Mary, FL 32746
Phone
(407) 378-7976
Fax
(859) 838-4413
NPI assigned
Jan 14, 2013
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 9213911 FL
Women's Health Nurse Practitioner 363LW0102X 9213911 FL
Nurse Practitioner 363L00000X ARNP 9213911 FL Primary

Addresses

Primary practice location

917 Rinehart Rd Ste 2061
Lake Mary, FL 32746

Mailing address

917 Rinehart Rd Ste 2061
Lake Mary, FL 32746-4878
Phone (407) 378-7976

Other practice location 1

12050 E Colonial Dr
Orlando, FL 32826-4705
Phone (407) 858-1495

Other identifiers 1

IdentifierTypeStateIssuer
023157300MedicaidFL

Other names 1

  • Miss Sherrine Faye Pinnock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 9213911FLMDNurse Practitioner
9213911FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Ave Consulting Multi-Specialty CurrentSince Dec 18, 2017 Accepting new patients

Locations

609 N Charles Richard Beall Blvd
Debary, FL 32713
Phone (386) 337-3525

225 W State Road 434
Ste 203
Longwood, FL 32750
Phone (407) 459-4360

6909 Old Highway 441 S
Ste 300
Mount Dora, FL 32757
Phone (352) 383-7703

10437 Moss Park Rd
Orlando, FL 32832
Phone (404) 802-1100

Organizations & group practices 1

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1326385105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2061",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327464878",
            "telephone_number": "407-378-7976",
            "fax_number": "859-838-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 RINEHART RD STE 2061",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "32746",
            "telephone_number": "407-378-7976",
            "fax_number": "859-838-4413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12050 E Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328264705",
            "country_code": "US",
            "telephone_number": "407-858-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "SHERRINE",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9213911",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "9213911",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 9213911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023157300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRINE",
            "last_name": "PINNOCK",
            "middle_name": "FAYE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.