Individual provider Active NPI

Diana Victoria Huaman, ARNP

  • Gerontology Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1417728262
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11029153 Issued in FL
Practice address
9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665
Phone
(407) 930-7801
Fax
(407) 930-7806
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN11029153 FL Primary

Addresses

Primary practice location

9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665

Mailing address

9975 Tavistock Lakes Blvd Ste 220
Orlando, FL 32827-7665
Phone (407) 930-7801

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220002185 FL Practitioner - Nurse Practitioner 7517494149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pedro L. Ortega MD PA CurrentSince Sep 16, 2024 Accepting new patients
Adventhealth Primary Care Network Inc CurrentSince Jan 26, 2026 Accepting new patients
Florida Medical Associates LLC PastSince Jan 14, 2024 Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

9975 Tavistock Lakes Blvd
Ste 220
Orlando, FL 32827
Phone (407) 930-7800

1603 S Hiawassee Rd
Ste 115
Orlando, FL 32835
Phone (407) 299-6700

3727 N Goldenrod Rd
Winter Park, FL 32792
Phone (407) 671-0001

3727 N Goldenrod Rd
Ste 106
Winter Park, FL 32792
Phone (407) 478-0028

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1417728262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 TAVISTOCK LAKES BLVD STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277665",
            "telephone_number": "407-930-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 TAVISTOCK LAKES BLVD STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277665",
            "telephone_number": "407-930-7801",
            "fax_number": "407-930-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUAMAN",
        "first_name": "DIANA",
        "middle_name": "VICTORIA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11029153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.