Active NPI
Sherrine Faye Richmond, ARNP
- Nurse Practitioner
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP 9213911
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023157300 | Medicaid | FL |
Other names 1
- Miss Sherrine Faye Pinnock
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9213911 | FL | MD | Nurse Practitioner |
| 9213911 | FL | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange Ave Consulting | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.