Ohana Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OHANA FAMILY PRACTICE LLC

Practice address

8255 N Wickham Rd Ste 100
Melbourne, FL 32940-8202

Phone

(321) 473-6292

Fax

(321) 600-4246

NPI assigned

Dec 13, 2023

Last updated

Dec 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Lou Shouppe, APRNNPI 1841710670

Title

Owner

Phone

(321) 473-6292

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Lou Shouppe, MSN,ARNP-FNP

  • Family Nurse Practitioner
  • Arden, NC
  • NPI 1841710670

  Family Medicine

  NPD Authorized official
• Denise M Marburger, APRN

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1871118455
  NPD
• Luz E Rodriguez-Lennon, NP

  • Family Nurse Practitioner
  • Monticello, IL
  • NPI 1831327527
  NPD

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1366210973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8255 N WICKHAM RD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408202",
            "telephone_number": "321-473-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8255 N WICKHAM RD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408202",
            "telephone_number": "321-473-6292",
            "fax_number": "321-600-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "SHOUPPE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-473-6292",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Odom, PA
• Landon CJ Odom
• Jerrold Ofiana, DPT
• Virgil Ogle
• Josephine Ogoe, L/COTA
• Vanessa Joann Ohleyer, D.O.
• Daniel Ohlin, APRN, FNP-C
• Ohmh, LLC (Orlando Health Melbourne Hospital)
• Ohri, LLC (Orlando Health Imaging Centers)
• Giancarlo Ojeda Sanjurjo, BCABA

• Family Medicine Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.