Individual provider Active NPI

Wendy Susan Ottati, ARNP

  • Nurse Practitioner
  • Maitland, FL
National Provider Identifier
1467790360
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2970282 Issued in FL
Practice address
670 N Orlando Ave
Suite 103
Maitland, FL 32751-4465
Phone
(407) 644-8193
Fax
(407) 644-8198
NPI assigned
Jan 28, 2013
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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 2970282 FL Primary

Addresses

Primary practice location

670 N Orlando Ave
Suite 103
Maitland, FL 32751-4465

Mailing address

670 N Orlando Ave
Suite 103
Maitland, FL 32751-4465
Phone (407) 644-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2970282FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1467790360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-644-8193",
            "fax_number": "407-644-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N ORLANDO AVE",
            "address_2": "SUITE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514465",
            "telephone_number": "407-644-8193",
            "fax_number": "407-644-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTATI",
        "first_name": "WENDY",
        "middle_name": "SUSAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "2970282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.