Individual provider Active NPI

Christelle Faith Renta, NP-C

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1326386046
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9258244 Issued in FL
Practice address
141 Terra Mango Loop Ste B
Orlando, FL 32835-8510
Phone
(407) 587-6406
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 ARNP9258244 FL Primary

Addresses

Primary practice location

141 Terra Mango Loop Ste B
Orlando, FL 32835-8510

Mailing address

15535 Citrus Harvest Rd
Winter Garden, FL 34787-9253
Phone (407) 478-9797

Other identifiers 1

IdentifierTypeStateIssuer
YOJ7COtherFLBLUE SHIELD

Other names 1

  • Christelle Faith Perrey 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
I20230814003123 FL Order and Referring Only - Nurse Practitioner 5799929451

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christelle Renta LLC Family CurrentSince Mar 5, 2023 Accepting new patients
Vital Signs Physicians CurrentSince Dec 10, 2023 Accepting new patients

Locations

141 Terra Mango Loop
Ste B
Orlando, FL 32835
Phone (407) 587-6406

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1326386046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15535 CITRUS HARVEST RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879253",
            "telephone_number": "407-478-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TERRA MANGO LOOP STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328358510",
            "telephone_number": "407-587-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTA",
        "first_name": "CHRISTELLE",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9258244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "YOJ7C",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTELLE",
            "last_name": "PERREY",
            "middle_name": "FAITH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.