Active NPI
Juliet Nelson
- Psychiatric/Mental Health Nurse Practitioner
- Orlando, FL
National Provider Identifier
1376003160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11001756
- Practice address
- 736 N Magnolia Ave
Orlando, FL 32803-3809 - Phone
- (407) 423-7149
- Fax
- (407) 422-0470
- NPI assigned
- Mar 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9411673 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11001756 | FL | Primary |
Addresses
Primary practice location
736 N Magnolia Ave
Orlando, FL 32803-3809
Mailing address
736 N Magnolia Ave
Orlando, FL 32803-3809
Phone (407) 423-7149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 9, 2020 through Apr 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9411673 | FL | MD | Registered Nurse |
| APRN11001756 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1376003160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 N MAGNOLIA AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033809",
"telephone_number": "407-423-7149",
"fax_number": "407-422-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 N MAGNOLIA AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328033809",
"telephone_number": "407-423-7149",
"fax_number": "407-422-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JULIET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9411673",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11001756",
"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 Mar 20, 2019; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.