Individual provider Active NPI

Jannette E Troche, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1326508292
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
11001916 Issued in FL
Practice address
1608 Oviedo Grove Cir Apt 13
Oviedo, FL 32765-7189
Phone
(787) 409-4711
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 11001916 FL Primary

Addresses

Primary practice location

1608 Oviedo Grove Cir Apt 13
Oviedo, FL 32765-7189

Mailing address

2572 W State Road 426
Ste 3040
Oviedo, FL 32765-8389

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
I20210120000260 FL Practitioner - Nurse Practitioner 1254744923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11001916FLMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurodiagnostic Center of Central Florida PA CurrentSince Jan 18, 2021 Accepting new patients

Locations

108 Park Place Blvd
Ste A
Davenport, FL 33837
Phone (863) 271-4222

7300 Sandlake Commons Blvd
Ste 106
Orlando, FL 32819
Phone (407) 341-2986

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAJGCA/Endpoint/IAJGCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1326508292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 W STATE ROAD 426",
            "address_2": "STE 3040",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 OVIEDO GROVE CIR APT 13",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657189",
            "telephone_number": "787-409-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROCHE",
        "first_name": "JANNETTE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "11001916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.