Active NPI
Joseph Sivoli, CRPS
- Peer Specialist
- Orlando, FL
National Provider Identifier
1326861121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CRPS.0101636.A
- Practice address
- 709 Edgewater Dr
Orlando, FL 32804-6815 - Phone
- (407) 676-4068
- NPI assigned
- Nov 1, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CRPS.0101636.A | FL | Primary |
Addresses
Primary practice location
709 Edgewater Dr
Orlando, FL 32804-6815
Mailing address
1702 Baxter Ave
Orlando, FL 32806-6412
Phone (414) 241-9480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRPS.0101636.A | FL | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Health, Inc | Current | Accepting new patients |
Locations
709 Edgewater Dr
Orlando, FL 32804
Phone (407) 676-4068
Interoperability endpoints
- https://api.platform.athenahealth.com/26012/brand/1/csg/1/fhir/r4
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.
-
- Community Health Clinic/Center
- Orlando, FL
- NPI 1891414025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1326861121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 BAXTER AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066412",
"telephone_number": "414-241-9480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 EDGEWATER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328046815",
"telephone_number": "407-676-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIVOLI",
"first_name": "JOSEPH",
"credential": "CRPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "FL",
"license": "CRPS.0101636.A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.