Individual provider Active NPI

Birget Ann Cordis, ARNP

  • Adult Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1437465176
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN9320109 Issued in FL
Practice address
2501 Marshfield Preserve Way
Kissimmee, FL 34746-2272
Phone
(407) 863-6389
NPI assigned
Aug 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN9320109 FL Primary

Addresses

Primary practice location

2501 Marshfield Preserve Way
Kissimmee, FL 34746-2272

Mailing address

2501 Marshfield Preserve Way
Kissimmee, FL 34746-2272
Phone (407) 863-6389

Other practice location 1

15150 Preston Rd Ste 150
Dallas, TX 75248-4854
Phone (718) 679-7711

Other practice location 2

1317 Edgewater Dr # 3367
Orlando, FL 32804-6350
Phone (407) 863-6389

Other identifiers 1

IdentifierTypeStateIssuer
003869400MedicaidFL

Other names 1

  • Birget Bunbury Other name

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
I20210728001526 FL Practitioner - Nurse Practitioner 8628248838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Orlando, FL 32804
Phone (407) 863-6389

2501 Marshfield Preserve Way
Kissimmee, FL 34746-2272

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villagehealth DM LLC CurrentSince Feb 7, 2022 Accepting new patients
Ernie's Assisted Living Facility II Past Accepting new patients

Locations

1299 E Commercial Blvd
Ste 201
Oakland Park, FL 33334
Phone (720) 631-1142

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1437465176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 MARSHFIELD PRESERVE WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462272",
            "telephone_number": "407-863-6389",
            "fax_number": "407-209-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MARSHFIELD PRESERVE WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462272",
            "telephone_number": "407-863-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15150 Preston Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752484854",
            "country_code": "US",
            "telephone_number": "718-679-7711",
            "fax_number": "407-209-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1317 Edgewater Dr # 3367",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328046350",
            "country_code": "US",
            "telephone_number": "407-863-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDIS",
        "first_name": "BIRGET",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN9320109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003869400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIRGET",
            "last_name": "BUNBURY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.