Individual provider Active NPI

Jadira Rose Santos, ARNP-C

  • Family Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1457790883
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9189478 Issued in FL
Practice address
831 Simpson Rd
Kissimmee, FL 34744-5328
Phone
(407) 483-5757
Fax
(855) 642-2122
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9189478 FL Primary

Addresses

Primary practice location

831 Simpson Rd
Kissimmee, FL 34744-5328

Mailing address

831 Simpson Rd
Kissimmee, FL 34744-5328
Phone (407) 483-5757

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
I20131120000710 FL Practitioner - Nurse Practitioner 6002042116 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Poinciana Medical Clinic CurrentSince Oct 20, 2014 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jan 12, 2015 Accepting new patients
Advanced Physical Medicine Inc CurrentSince Jan 12, 2015 Accepting new patients

Locations

51 N Doverplum Ave
Kissimmee, FL 34758
Phone (407) 572-8862

953 N Semoran Blvd
Orlando, FL 32807
Phone (407) 282-3615

12554 S John Young Pkwy
Ste 103
Orlando, FL 32837
Phone (407) 282-3615

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1457790883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "855-642-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 SIMPSON RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445328",
            "telephone_number": "407-483-5757",
            "fax_number": "855-642-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JADIRA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9189478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.