Soraya Roa, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11009033 Issued in FL

Practice address

14015 Egret Tower Dr
Orlando, FL 32837-6197

Phone

(407) 447-7100

Fax

(407) 447-6100

NPI assigned

Sep 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Vantage Medical Associates PC

  • Multi-Specialty Clinic/Center
  • Far Rockaway, NY
  • NPI 1538642996
  Medicare reassignment NPD
• Nazim Merchant MD, PA

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1366406183
  NPD Authorized official
• Nazim Merchant MD PA

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1679246276
  NPD
• Xpress Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Kissimmee, FL
  • NPI 1407599855
  NPD (past)

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1356956064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 FALCON AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466711",
            "telephone_number": "407-883-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-447-7100",
            "fax_number": "407-447-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1186 Cypress Glen Cir",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347417560",
            "country_code": "US",
            "telephone_number": "407-846-7669",
            "fax_number": "407-846-8091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1612 Central Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914002",
            "country_code": "US",
            "telephone_number": "718-223-5820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROA",
        "first_name": "SORAYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346903",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3018633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11009033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PW929",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108820800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14015 Egret Tower Dr",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328376197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rma Medical Center of Orlando LLC
• Rma of Orlando, LLC
• Rma of South Orlando LLC
• RMD Group Home,LLC
• Audris Melita Bol Roa, MD
• Leane Norton Roach, PT
• Sherene Andrea Roach, A.R.N.P.
• Lisseth Carolina Robayo Pulgar
• Adam Philip Robbins, LMHC
• Charles Morrison Robbins, DDS

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.