Kelley Lauren Diefenderfer, FNP-C, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9253190 Issued in FL

Practice address

3000 N Orange Ave Ste a
Orlando, FL 32804-7613

Phone

(407) 896-9660

Fax

(407) 896-9661

NPI assigned

Mar 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Orlando Immunology Center PA

  • Infectious Disease Physician
  • Orlando, FL
  • NPI 1467003772
  NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1457853947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E PACKWOOD AVE APT A208",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-927-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N ORANGE AVE STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047613",
            "telephone_number": "407-896-9660",
            "fax_number": "407-896-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEFENDERFER",
        "first_name": "KELLEY",
        "middle_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "FNP-C, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9253190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Didonne Enterprises Inc
• Amy Didonne
• Olivia O Diebate
• Christiane Dieckman
• Frank Clinton Diefenderfer, D.D.S., P.A.
• Diego Pagan
• Dayamis Dieguez
• Yuleidi Dieguez, FNP-C
• Izadora Izidoro Diehl, MD
• Kristen A Diehl, PA-C

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.