Individual provider Active NPI

Francillone Souffrant, ARNP

  • Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1417628678
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
646692 Issued in FL
Practice address
2556 Baykal Dr
Kissimmee, FL 34746-3460
Phone
(407) 844-0547
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 646692 FL Primary

Addresses

Primary practice location

2556 Baykal Dr
Kissimmee, FL 34746-3460

Mailing address

2556 Baykal Dr
Kissimmee, FL 34746-3460
Phone (407) 844-0547

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
646692FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1417628678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2556 BAYKAL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463460",
            "telephone_number": "407-844-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2556 BAYKAL DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347463460",
            "telephone_number": "407-844-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFFRANT",
        "first_name": "FRANCILLONE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "646692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.