Active NPI
Michelle Ivy Attar, APRN
- Family Nurse Practitioner
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11006853
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11006853 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Regeneration and Rehabilitation Center LLC | Current | Accepting new patients | |
| Revitalizing Infusion Therapies, LLC | Current | Accepting new patients | |
| Dover Shores Family Practice | Current | 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.
-
- Family Medicine Physician
- Orlando, FL
- NPI 1417683707
-
- Physical Medicine & Rehabilitation Physician
- Orlando, FL
- NPI 1962920454
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Kissimmee, FL
- NPI 1508485756
-
- Family Medicine Physician
- Melbourne, FL
- NPI 1144766635
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.