Individual provider Active NPI

Michelle Ivy Attar, APRN

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1346867207
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11006853 Issued in FL
Practice address
9685 Lake Nona Village PL Ste 205
Orlando, FL 32827-7322
Phone
(407) 627-1148
NPI assigned
Jun 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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 11006853 FL Primary

Addresses

Primary practice location

9685 Lake Nona Village PL Ste 205
Orlando, FL 32827-7322

Mailing address

9685 Lake Nona Village PL
Orlando, FL 32827-7320
Phone (407) 627-1148

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
I20200812002575 FL Practitioner - Nurse Practitioner 2163848805 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dover Shores Family PracticeGroup PAC ID 7517336431, 14 clinicians

Practice addresses (Care Compare)

4711 Curry Ford Rd
Suite B
Orlando, FL 32812-2704
Phone (407) 275-9014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11006853FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration and Rehabilitation Center LLC CurrentSince Feb 16, 2021 Accepting new patients
Revitalizing Infusion Therapies, LLC CurrentSince May 20, 2023 Accepting new patients
Dover Shores Family Practice CurrentSince Jan 27, 2026 Accepting new patients

Locations

100 E Dakin Ave
Kissimmee, FL 34741
Phone (321) 442-0192

9685 Lake Nona Village Pl
Ste 205
Orlando, FL 32827
Phone (407) 627-1148

4711 Curry Ford Rd
Ste B
Orlando, FL 32812
Phone (407) 275-6810

15820 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 401-8855

Organizations & group practices 4

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": "1593129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1346867207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9685 LAKE NONA VILLAGE PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277320",
            "telephone_number": "407-627-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9685 LAKE NONA VILLAGE PL STE 205",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277322",
            "telephone_number": "407-627-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTAR",
        "first_name": "MICHELLE",
        "middle_name": "IVY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-26",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11006853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.